NPI | 1871674515 |
---|---|
Other Name | COVENANT FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | LAWRENCE CARL SWAN Owner 423-339-1760 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-18 |
Last Update Date | 2015-12-01 |