Organization
NOVA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DONNELLY (MANAGER)
(252) 672-0095
Entity
Organization
Contact information
Practice address
4252 ARENDELL ST STE A, MOREHEAD CITY, NC 28557-0015
(252) 222-0204
(252) 222-0433
Mailing address
1813 S GLENBURNIE RD, NEW BERN, NC 28562-5210
(252) 672-0095
(252) 672-9897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213209
NC
Other
Enumeration date
10/01/2015
Last updated
02/22/2016
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