Organization
NOVA URGENT & MEDICAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DONNELLY (PRESIDENT)
(252) 672-0095
Entity
Organization
Contact information
Practice address
861 BERKSHIRE RD, SMITHFIELD, NC 27577-4728
(919) 934-0985
Mailing address
1813 S GLENBURNIE RD, NEW BERN, NC 28562-5210
(252) 672-0095
(252) 672-9897
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126UJ
N.C BLUE CROSS
NC
05
—
5900007
—
NC
Enumeration date
06/19/2006
Last updated
11/07/2008
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