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Contact Information

COVENANT EMERGENCY PHYSICIANS LLC
541 HISTORIC HWY 441
ER DEPARTMENT
DEMOREST, GA30535
 Phone: 706-754-3113
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for COVENANT EMERGENCY PHYSICIANS LLC

NPI Number 1194776914
LBN Legal business name COVENANT EMERGENCY PHYSICIANS LLC
Authorized official MARC CHETTA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2006
Last updated 09/13/2007 - About 19 years ago
Identifiers
GA Other DE8501 RRGA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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