Individual
NOVA THOMAS JOHN
Active
Individual
NOVA THOMAS JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
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
Update your record
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