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1629266994
COVENANT MEDICAL GROUP INC
DICKSON, TN
NPI
1629266994
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Entity Type
Organization
Authorized Contact
WALTER STEPHENS
Owner
615-441-6140
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2007-10-11
Last Update Date
2008-01-08
Business Address
COVENANT MEDICAL GROUP INC
415 HENSLEE DR
DICKSON, TN 37055-2166
Phone number: 615-441-6140
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Mailing Address
COVENANT MEDICAL GROUP INC
415 HENSLEE DR
DICKSON, TN 37055-2166
Phone number: 615-441-6140
Copy
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