| Covenant Medical Group | |
|
2340 Fairview Boulevard Suite 600d Fairview TN 37062 | |
| (615) 441-6140 | |
| Not Available |
| Full Name | Covenant Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2340 Fairview Boulevard, Fairview, Tennessee |
| Authorized Official Name and Position | Susan Fenton (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 6158516033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Medical Group 3024 Business Park Cir Goodlettsville TN 37072-3132 Ph: () - | Covenant Medical Group 2340 Fairview Boulevard Suite 600d Fairview TN 37062 Ph: (615) 441-6140 |
| NPI Number | 1740757764 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 02/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740757764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Fairview Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 Adams Dr, Fairview, TN 37062 Phone: 615-799-1927 Fax: 615-799-1928 | |
Covenant Medical Fairview, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 Fairview Blvd Ste 600d, Fairview, TN 37062 Phone: 615-266-2177 | |
Dma Fairview Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2340 Fairview Blvd Ste 100, Fairview, TN 37062 Phone: 629-205-3018 Fax: 615-446-1357 |