Individual
JOHN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 359-1234
Mailing address
3420 HARDWAY LN, SPRING HILL, TN 37174-5123
(440) 350-1519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1906
TN
363A00000X
Physician Assistant
50000610
OH
Other
Enumeration date
03/30/2006
Last updated
11/28/2018
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