| Covenant Family Medicine Gmg Llc | |
|
2098 Teron Trce Suite 150 Dacula GA 30019-1663 | |
| (678) 730-1620 | |
| Not Available |
| Full Name | Covenant Family Medicine Gmg Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2098 Teron Trce, Dacula, Georgia |
| Authorized Official Name and Position | Steven A Rubin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4703250150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Medicine Gmg Llc 2069 Teron Trce Suite 100 Dacula GA 30019-1665 Ph: (678) 730-1620 | Covenant Family Medicine Gmg Llc 2098 Teron Trce Suite 150 Dacula GA 30019-1663 Ph: (678) 730-1620 |
| NPI Number | 1346595204 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 08/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346595204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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