NPI | 1740757764 |
---|---|
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 | 2018-10-29 |
Last Update Date | 2020-02-14 |