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Organization
FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC.
Active
Organization
FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNELL COVINGTON MD (PHYSICIAN)
(919) 881-9440
Entity
Organization
Contact information
Practice address
3350 SIX FORKS RD, RALEIGH, NC 27609-7233
(919) 881-9440
(919) 881-9465
Mailing address
3350 SIX FORKS RD, RALEIGH, NC 27609-7233
(919) 881-9440
(919) 881-9465
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
03/17/2006
Last updated
04/13/2021
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