Organization
NOVA URGENT CARE AND FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DONNELLY (MANAGER)
(252) 671-1119
Entity
Organization
Contact information
Practice address
11179 HWY 55, GRANTSBORO, NC 28529-2852
(252) 745-7440
(252) 745-7422
Mailing address
446 TRENT FARM RD, NEW BERN, NC 28562-6560
(252) 671-1119
(252) 745-7422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
07/20/2020
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