| Nova Law Md Pc | |
|
2022 Brookwood Medical Ctr Dr Ambulatory Care Center Suite 412 Birmingham AL 35209-6808 | |
| (205) 870-4343 | |
| (205) 870-0299 |
| Full Name | Nova Law Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2022 Brookwood Medical Ctr Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Nova Law (OWNER) |
| Authorized Official Contact | 2058701967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Law Md Pc 2022 Brookwood Medical Ctr Dr Ambulatory Care Center Suite 412 Birmingham AL 35209-6808 Ph: (205) 870-4343 | Nova Law Md Pc 2022 Brookwood Medical Ctr Dr Ambulatory Care Center Suite 412 Birmingham AL 35209-6808 Ph: (205) 870-4343 |
| NPI Number | 1952571911 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 08/12/2008 |
| Medicare PECOS PAC ID | 3577461086 |
|---|---|
| Medicare Enrollment ID | O20031222000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952571911 | NPI | - | NPPES |
| J560 | Other | AL | MEDICARE GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25138 (Alabama) | Primary |
| Provider Name | Nova Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043230212 PECOS PAC ID: 0749188258 Enrollment ID: I20130401000371 |
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