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1609076041
COVENANT FAMILY PRACTICE 2LLC
CLARKSVILLE, TN
NPI
1609076041
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Entity Type
Organization
Authorized Contact
ALICIA HOLDEN
Lead
404-943-0205
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-07-24
Last Update Date
2007-07-24
Business Address
COVENANT FAMILY PRACTICE 2LLC
123B CENTER POINTE DR
CLARKSVILLE, TN 37040-8424
Phone number: 404-943-0205
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Mailing Address
COVENANT FAMILY PRACTICE 2LLC
PO BOX 468329
ATLANTA, GA 31146-8329
Phone number:
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