Organization
NOVA PAIN MANAGEMENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DONNELLY (PRESIDENT)
(252) 672-0095
Entity
Organization
Contact information
Practice address
1813 S GLENBURNIE RD, NEW BERN, NC 28562-5210
(252) 672-0095
(252) 672-9897
Mailing address
1813 S GLENBURNIE RD, NEW BERN, NC 28562-5210
(252) 672-0095
(252) 672-9897
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015YC
—
NC
Enumeration date
06/19/2006
Last updated
01/12/2015
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