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
1395 South Marietta Parkway Building 200, Suite 212
Marietta, GA 30067
United States
County
Cobb
Phone
7706157900 (Phone)
Billing Details
Address
P.O. Box 840204
Dallas, TX 75284
Billing Phone
7706157900
Specialty Type
Occupational Medicine Facility
Map
Address