| Covenant Family Practice 2llc | |
|
123b Center Pointe Dr Clarksville TN 37040-8424 | |
| (404) 943-0205 | |
| Not Available |
| Full Name | Covenant Family Practice 2llc |
|---|---|
| Speciality | Clinic/center |
| Location | 123b Center Pointe Dr, Clarksville, Tennessee |
| Authorized Official Name and Position | Alicia Holden (LEAD) |
| Authorized Official Contact | 4049430205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Practice 2llc Po Box 468329 Atlanta GA 31146-8329 Ph: () - | Covenant Family Practice 2llc 123b Center Pointe Dr Clarksville TN 37040-8424 Ph: (404) 943-0205 |
| NPI Number | 1609076041 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609076041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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