Covenant Family Practice 2llc
NPI #1609076041 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1609076041
- Entity Type
- Organization
- Organization Name
- Covenant Family Practice 2llc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 24, 2007
- Last Updated
- Jul 24, 2007
Practice Location
- Address
- 123B CENTER POINTE DR
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37040-8424
- Phone
- (404) 943-0205
Authorized Official
- Name
- ALICIA HOLDEN, ACCOUNTING
- Title
- LEAD
- Phone
- (404) 943-0205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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