| Nova Physician Group PLLC | |
|
1731 Dixie Hwy Louisville KY 40210-2313 | |
| (502) 444-6016 | |
| (502) 586-7178 |
| Full Name | Nova Physician Group PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1731 Dixie Hwy, Louisville, Kentucky |
| Authorized Official Name and Position | Terrence Morton (SR. MEDICAL DIRECTOR) |
| Authorized Official Contact | 7737339730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Physician Group PLLC 30 W Monroe St Ste 1200 Chicago IL 60603 Ph: (773) 352-1515 | Nova Physician Group PLLC 1731 Dixie Hwy Louisville KY 40210-2313 Ph: (502) 444-6016 |
| NPI Number | 1346097102 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346097102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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