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NPI Code Detail

MEDICARE: TERESA COVEY BSN, RN

MEDICARE: TERESA COVEY BSN, RN
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
1163WC1500XCommunity Health Registered Nurse980998SC

General Provider Information

NPI Number : 1619393576
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA COVEY BSN, RN
Provider Business Mailing Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-372-3165
Fax Number : 864-282-4425
Provider Business Practice Location Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-372-3165
Fax Number : 864-282-4425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2014
Last Update Date : 03/14/2014

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