| NPI | 1487121703 |
|---|---|
| Doing Business As | COVENANT MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SUSAN FENTON Credentialing Supervisor 615-851-6033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |