NPI | 1396777595 |
---|---|
Doing Business As | COVENANT HEALTH URGENT CARE |
Former Legal Business Name | PARK MED AMBULATORY CARE PC |
Entity Type | Organization |
Authorized Contact | TYLER TERWILLIGER Senior Credentialing Specialist 615-656-2750 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
261QU0200X Clinic/Center, Urgent Care | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2025-01-30 |