Healthcare Provider Details

I. General information

NPI: 1063823102
Provider Name (Legal Business Name): RACHEL COVINGTON M.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 12/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7945 WOLF RIVER BLVD
GERMANTOWN TN
38138-1762
US

IV. Provider business mailing address

7945 WOLF RIVER BLVD
GERMANTOWN TN
38138-1762
US

V. Phone/Fax

Practice location:
  • Phone: 901-683-0055
  • Fax: 901-322-2948
Mailing address:
  • Phone: 901-683-0055
  • Fax: 901-322-2948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: