# COVENANT MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1194235853
- **Authorized official:** DR. NGOZIKA ORJIOKE MD (CEO)
- **Authorized official phone:** (770) 990-8212

## Contact information

- **Practice address:** 3605 SANDY PLAINS RD STE 240-235, MARIETTA, GA 30066-3068
- **Practice address phone:** (770) 990-8212
- **Mailing address:** 2330 TALL TIMBERS LN, MARIETTA, GA 30066-2117
- **Mailing address phone:** (770) 990-8212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 65598 | GA | Yes |

## Other

- **Enumeration date:** 10/09/2017
- **Last updated:** 10/09/2017