# FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023077211
- **Authorized official:** CONNELL COVINGTON MD (PHYSICIAN)
- **Authorized official phone:** (919) 881-9440

## Contact information

- **Practice address:** 3350 SIX FORKS RD, RALEIGH, NC 27609-7233
- **Practice address phone:** (919) 881-9440
- **Practice address fax:** (919) 881-9465
- **Mailing address:** 3350 SIX FORKS RD, RALEIGH, NC 27609-7233
- **Mailing address phone:** (919) 881-9440
- **Mailing address fax:** (919) 881-9465

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |
| 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