MEDICARE: DEMETRIA COVET GREEN NEWTON

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1730884453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEMETRIA COVET GREEN NEWTON

Provider Business Mailing Address
First Line	:	1810 N ASHLEY ST STE 1
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-3065
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1810 N ASHLEY ST STE 1
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-3065
Country	:	US
Telephone Number	:	229-460-1703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	02/10/2026

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Directions to “ DEMETRIA COVET GREEN NEWTON ” Practice Location

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