BIVINS ENTERPRISE, LLC

COVINGTON, GA
NPI1902495179
Entity TypeOrganization
Authorized ContactVALERIE ELAINE FANNING
President
404-820-0964
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2021-01-13
Last Update Date2021-01-13
Business Address
BIVINS ENTERPRISE, LLC
30 ROSEMOORE DR
COVINGTON, GA 30014-7065
Phone number: 404-820-0964
Mailing Address
BIVINS ENTERPRISE, LLC
5486 SOMERSBY PKWY
PINSON, AL 35126-5512
Phone number: 140-482-0096
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