Organization
NOVA PHYSICIAN GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE MORTON JR. (SR. MEDICAL DIRECTOR)
(773) 733-9730
Entity
Organization
Contact information
Practice address
3900 HULL STREET RD, RICHMOND, VA 23224-1714
(804) 913-7029
(312) 929-0373
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/29/2024
Last updated
05/06/2024
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