Covenant Medcare LLC

NPI #1144428780 in Dunlap, Tennessee

Provider Information

NPI Number: 1144428780
Entity Type: Organization
Organization Name: Covenant Medcare LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 5, 2007
Last Updated: Sep 10, 2008

Practice Location

Address: 15324 RANKIN AVENUE
City: Dunlap
State: Tennessee
ZIP Code: 37327
Phone: (423) 949-9200

Authorized Official

Name: DR. JONATHAN M KERLEY, D.O.
Title: OWNER PHYSICIAN
Phone: (423) 949-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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