| NPI | 1568596823 |
|---|---|
| Doing Business As | NEW COVENANT MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | PHILIP A BANNOR President 423-553-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-02-16 |