Provider Demographics
NPI:1033608906
Name:NOVA BIRTH SERVICES, LLC
Entity Type:Organization
Organization Name:NOVA BIRTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-335-6358
Mailing Address - Street 1:401 CENTER ST STE 119
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-2417
Mailing Address - Country:US
Mailing Address - Phone:615-669-6399
Mailing Address - Fax:877-482-7311
Practice Address - Street 1:401 CENTER ST STE 119
Practice Address - Street 2:
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138-2417
Practice Address - Country:US
Practice Address - Phone:615-669-6399
Practice Address - Fax:877-482-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty