| Covenant Medical Group, Inc | |
|
1300 Old Weisgarber Rd Knoxville TN 37909-1291 | |
| (865) 584-2146 | |
| (865) 584-9660 |
| Full Name | Covenant Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 Old Weisgarber Rd, Knoxville, Tennessee |
| Authorized Official Name and Position | Julie G Utterback (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 8653745119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Medical Group, Inc 1400 Centerpoint Blvd Bldg A, Ste 202 Knoxville TN 37932-1979 Ph: (865) 374-5200 | Covenant Medical Group, Inc 1300 Old Weisgarber Rd Knoxville TN 37909-1291 Ph: (865) 584-2146 |
| NPI Number | 1881636488 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 2860305463 |
|---|---|
| Medicare Enrollment ID | O20130520000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881636488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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