Organization
MATTHEW J. NOVAK, MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J NOVAK M.D. (OWNER)
(770) 794-1995
Entity
Organization
Contact information
Practice address
780 CANTON RD NE, SUITE 320, MARIETTA, GA 30060-7241
(770) 794-1995
(770) 794-1996
Mailing address
50 BARRETT PKWY, SUITE 1200, # 338, MARIETTA, GA 30066-3300
(770) 794-1995
(770) 794-1996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
048552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00899258A
—
GA
01
—
020048465
RAILROAD MEDICARE
GA
Enumeration date
01/08/2008
Last updated
06/13/2008
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