COVENANT CLINIC, P. A.

SANFORD, NC
NPI1407977804
Entity TypeOrganization
Authorized ContactTHELLIE RUPERT AINSLEY
President
919-774-4163
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NC  25545)
Enumeration Date2007-04-03
Last Update Date2009-03-16
Business Address
COVENANT CLINIC, P. A.
7953 VILLANOW DR
SANFORD, NC 27332-7595
Phone number: 919-774-4163
Mailing Address
COVENANT CLINIC, P. A.
PO BOX 2427
SANFORD, NC 27331-2427
Phone number: 919-774-4163