| NPI | 1881696664 |
|---|---|
| Doing Business As | COVENTRY MEDICAL GROUP - PEDS |
| Entity Type | Organization |
| Authorized Contact | GARY D NEWSOME President 615-373-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2022-07-21 |