Individual
NOVA THOMAS JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303
(404) 251-8899
(404) 251-8954
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
(404) 251-8899
(404) 251-8954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54005
CT
207R00000X
Internal Medicine Physician
Primary
81357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81357
LICENSE
GA
Enumeration date
08/28/2012
Last updated
10/16/2018
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