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NPI Code Detail

MEDICARE: COVENANT GERIATRICS PLLC

MEDICARE: COVENANT GERIATRICS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1144564717
Entity Type Code : Organization
Provider Name (Legal Business Name) : COVENANT GERIATRICS PLLC
Provider Business Mailing Address
First Line : 5751 UPTAIN RD
Second Line : STE 100
City : CHATTANOOGA
State : TN
Zip : 37411-4077
Country : US
Telephone Number : 423-899-9080
Fax Number : 423-424-3690
Provider Business Practice Location Address
First Line : 3016 CANE CREEK RD
Second Line :
City : FAIRVIEW
State : NC
Zip : 28730-8743
Country : US
Telephone Number : 828-628-2800
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DONALD L CULVER
Credential : MD
Telephone Number : 423-899-9080
Provider Enumeration Date : 11/20/2012
Last Update Date : 11/20/2012

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Directions to “COVENANT GERIATRICS PLLC ” Practice Location

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