# NOVA FAMILY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871508606
- **Authorized official:** DR. MARTHA LOUISE COOPER M.D. (OWNER)
- **Authorized official phone:** (229) 776-9143

## Contact information

- **Practice address:** 807 S ISABELLA ST, SUITE C, SYLVESTER, GA 31791-7554
- **Practice address phone:** (229) 776-9143
- **Mailing address:** PO BOX 465, SYLVESTER, GA 31791-0465
- **Mailing address phone:** (229) 776-9143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | BC4653247 | GA | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 04/18/2008
