Covenant Medical Center PC

NPI #1770726721 in Lilburn, Georgia

Provider Information

NPI Number: 1770726721
Entity Type: Organization
Organization Name: Covenant Medical Center PC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 7, 2009
Last Updated: Apr 20, 2010

Practice Location

Address: 3970 FIVE FORKS TRICKUM RD SW
Address 2: SUITE A
City: Lilburn
State: Georgia
ZIP Code: 30047-2339
Phone: (678) 357-1282

Authorized Official

Name: DR. CECILIA O BABALOLA, MD
Title: PHYSICIAN/OWNER
Phone: (678) 357-1282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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