Healthcare Provider Details

I. General information

NPI: 1760308068
Provider Name (Legal Business Name): COVENANT COMPANY CHILTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 1ST ST N
CLANTON AL
35045-3418
US

IV. Provider business mailing address

303 1ST ST N
CLANTON AL
35045-3418
US

V. Phone/Fax

Practice location:
  • Phone: 205-280-3333
  • Fax: 205-280-4135
Mailing address:
  • Phone: 205-280-3333
  • Fax: 205-280-4135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: RACHEL JOHNSON MILLER
Title or Position: OWNER
Credential:
Phone: 205-280-3333