Contract Details
Nova Healthcare GA, LLC
Facility name
Nova Medical Centers
Provider ID
P000008397
NPI
1881019917
Tax ID
464738186
Effective Date
2/17/2016
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_271
Location Details
Address
1128 East DeRenne Avenue
Savannah, GA 31406
United States
County
Chatham
Phone
9122317900 (Phone)
Billing Details
Address
P.O. Box 840204
Dallas, TX 75284
Billing Phone
9122317900
Specialty Type
Occupational Medicine Facility
Map
Address