Covington Clinic | |
4480 Covington Hwy Suite B Decatur GA 30035-1218 | |
(404) 775-1973 | |
Not Available |
Full Name | Covington Clinic |
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Speciality | Clinic/Center |
Location | 4480 Covington Hwy, Decatur, Georgia |
Authorized Official Name and Position | Frank Ojo Dania (PRESIDENT/CEO) |
Authorized Official Contact | 7706885558 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Covington Clinic 4480 Covington Hwy Suite B Decatur GA 30035-1218 Ph: (404) 775-1973 | Covington Clinic 4480 Covington Hwy Suite B Decatur GA 30035-1218 Ph: (404) 775-1973 |
NPI Number | 1588892293 |
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Provider Enumeration Date | 07/01/2009 |
Last Update Date | 07/04/2009 |
Medicare PECOS PAC ID | 7315093259 |
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Medicare Enrollment ID | O20090918000140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588892293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 061956 (Georgia) | Primary |
Provider Name | Frank O Dania |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720247265 PECOS PAC ID: 0941364111 Enrollment ID: I20090918000151 |
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