# COVENANT PULMONARY CRITICAL CARE INC

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

## Provider details

- **NPI number:** 1447616255
- **Authorized official:** NGOZIKA A ORJIOKE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (770) 990-8212

## Contact information

- **Practice address:** 1136 CLEVELAND AVE, SUITE 615, EAST POINT, GA 30344-3618
- **Practice address phone:** (404) 254-5388
- **Practice address fax:** (404) 565-1255
- **Mailing address:** 1136 CLEVELAND AVE, SUITE 615, EAST POINT, GA 30344-3618
- **Mailing address phone:** (404) 254-5388
- **Mailing address fax:** (404) 565-1255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 65598 | GA | Yes |

## Other

- **Enumeration date:** 01/08/2016
- **Last updated:** 07/05/2016