Individual
TIMOTHY NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 696-1308
(828) 696-4696
Mailing address
PO BOX 11807, COLUMBIA, SC 29211-1807
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
237851
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142MH
BCBS OF NC PIN # T. NOVAK
NC
05
—
5904032
—
NC
Enumeration date
05/12/2006
Last updated
04/30/2015
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