Covenant Family Allergy, PC
NPI #1205002888 in North Augusta, South Carolina
Provider Information
- NPI Number
- 1205002888
- Entity Type
- Organization
- Organization Name
- Covenant Family Allergy, PC
- Primary Specialty
- Allergy & Immunology
- Enumeration Date
- May 5, 2008
- Last Updated
- Apr 18, 2013
Practice Location
- Address
- 616 EDGEFIELD RD
- Address 2
- SUITE 180
- City
- North Augusta
- State
- South Carolina
- ZIP Code
- 29841-1938
- Phone
- (803) 279-7666
Authorized Official
- Name
- MATTHEW T CLARK, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (803) 441-8648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
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