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
3209 Deans Bridge Road
Augusta, GA 30906
United States
County
Richmond
Phone
7622221123 (Phone)
Billing Details
Address
P.O. Box 804204
Dallas, TX 75284
Billing Phone
7622221123
Specialty Type
Occupational Medicine Facility
Map
Address