Nova Obgyn, PC

NPI #1265577159 in College Park, Georgia

Provider Information

NPI Number: 1265577159
Entity Type: Organization
Organization Name: Nova Obgyn, PC
Primary Specialty: Specialist
Enumeration Date: Feb 20, 2007
Last Updated: Feb 6, 2008

Practice Location

Address: 1587 PHOENIX BLVD
Address 2: SUITE6
City: College Park
State: Georgia
ZIP Code: 30349-5540
Phone: (770) 994-6806

Authorized Official

Name: MS. NELDA CORSON
Title: PRACTICE MANAGER
Phone: (770) 994-6806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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