| NPI | 1760484539 |
|---|---|
| Doing Business As | COVENTRY MEDICAL GROUP - FP#1 |
| Entity Type | Organization |
| Authorized Contact | GARY DOUGLAS NEWSOME President 615-373-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2022-07-21 |