Family Practice Of Covington, Inc

NPI 1770781544 - Family Medicine - 207Q00000X

NPI Details
NPI 1770781544
Enumeration Date 07/03/2007
Last Updated 08/18/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SOPHIA MICHELLE SOPHIA
Position ADMINISTRATIVE ASSISTANT
Phone (901) 475-4752
Fax (901) 475-1554
Practice Location
4235 HIGHWAY 51 SOUTH
BRIGHTON TN, 38011-6921, US
Phone (901) 475-4752
Fax (901) 475-1554
Business Location
P.O. BOX 507
COVINGTON TN, 38019-0507, US
Phone (901) 475-4752
Fax (901) 475-1554
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD11374
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According to our database, Family Practice Of Covington, Inc NPI is 1770781544, taxonomy code is 207Q00000X and license number is MD11374, license state is located at Tennessee. Family Practice Of Covington, Inc physically located at 4235 Highway 51 South, Brighton TN, 38011-6921. NPI Number 1033115704 has the healthcare provider type.

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1770781544 NPI number is provided on an as is basis without warranty of any kind. 1770781544 is maintained by the National Plan & Provider Enumeration System. The contents of Family Practice Of Covington, Inc are for informational purposes only.