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Covington Primary Care, PLLC

Internal Medicine in Munford, TN. Organization (NPI-2).

NPI number1104980168
StatusActive
Last updated in NPPESFeb 14, 2008

Details

NPI
1104980168
Entity type
Organization (NPI-2)
Legal business name
Covington Primary Care, PLLC
Organization subpart
No
Enumeration date
Dec 21, 2006
Last updated
Feb 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD34001TNYes

Practice location

534 Munford Ave
Munford, TN 38058-6828

Phone 901-840-3540 · Fax 901-840-3543

Mailing address

Po Box 7
Covington, TN 38019-0007

Phone 901-840-3540 · Fax 901-840-3543

Authorized official

Alvin James Miller
Physician
9018403540

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