# NOVA FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1962872069
- **Authorized official:** MR. DAVID DONNELLY (MANAGER)
- **Authorized official phone:** (252) 672-0095

## Contact information

- **Practice address:** 4252 ARENDELL ST STE A, MOREHEAD CITY, NC 28557-0015
- **Practice address phone:** (252) 222-0204
- **Practice address fax:** (252) 222-0433
- **Mailing address:** 1813 S GLENBURNIE RD, NEW BERN, NC 28562-5210
- **Mailing address phone:** (252) 672-0095
- **Mailing address fax:** (252) 672-9897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 213209 | NC | Yes |

## Other

- **Enumeration date:** 10/01/2015
- **Last updated:** 02/22/2016