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NPI Code Detail

MEDICARE: DR. STEVE M COVINGTON III M.D.

MEDICARE: DR. STEVE M COVINGTON III M.D.
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
1207ZD0900XDermatopathology (Pathology) Physician030291GA
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician030291GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912900697
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVE M COVINGTON III M.D.
Provider Business Mailing Address
First Line : PO BOX 1457
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-1457
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N DECATUR RD
Second Line :
City : DECATUR
State : GA
Zip : 30033-5918
Country : US
Telephone Number : 404-501-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/24/2009

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