COVENANT PEDIATRICS, PLLC; NPI #1659670412

Contact Information

COVENANT PEDIATRICS, PLLC

421 OLD RICEVILLE RD STE 2
ATHENS, TN 37303-3074

Phone: 423-744-8755
Fax: 423-744-8568
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for COVENANT PEDIATRICS, PLLC

NPI # 1659670412

LBN Legal business name COVENANT PEDIATRICS, PLLC

Authorized official OMER BREEDEN - (BUSINESS MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/19/2011

Last updated 05/23/2022 - About 4 years ago

Identifiers

License #

MD19704

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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COVENANT PEDIATRICS, PLLC

Contact Information

Specialty

Rural Health

NPI Profile & details for COVENANT PEDIATRICS, PLLC

Reviews for COVENANT PEDIATRICS, PLLC