COVINGTON FAMILY CARE AND SPECIALTY GROUP NPI 1942352778

NPI Information

COVINGTON FAMILY CARE AND SPECIALTY GROUP is a primary care clinic center in Decatur, GA. COVINGTON FAMILY CARE AND SPECIALTY GROUP NPI is 1942352778. The provider is registered as an organization entity type.

The provider's business location address is:

3546 COVINGTON HWY
SUITE C
DECATUR, GA
ZIP 30032-823
Phone: (404) 284-7744
Fax: (404) 284-8006

The provider's authorized official is Terri Yvonne Acker .
The authorized official title is Practice Administrator and has the following contact phone number (404) 284-7744.

The CLIA number assigned to this NPI record is 11D0960025 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/18/2007 and was last updated on 12/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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