Organization
NOVA LAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOVA LAW MD (OWNER)
(205) 870-1967
Entity
Organization
Contact information
Practice address
2022 BROOKWOOD MEDICAL CTR DR, AMBULATORY CARE CENTER SUITE 412, BIRMINGHAM, AL 35209-6808
(205) 870-4343
(205) 870-0299
Mailing address
2022 BROOKWOOD MEDICAL CTR DR, AMBULATORY CARE CENTER SUITE 412, BIRMINGHAM, AL 35209-6808
(205) 870-4343
(205) 870-0299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25138
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J560
MEDICARE GROUP PIN
AL
Enumeration date
03/06/2008
Last updated
08/12/2008
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