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Organization
FAMILY PRACTICE OF COVINGTON, INC
Active
Organization
FAMILY PRACTICE OF COVINGTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOPHIA MICHELLE JOHNSON (ADMINISTRATIVE ASSISTANT)
(901) 475-4752
Entity
Organization
Contact information
Practice address
4235 HIGHWAY 51 SOUTH, BRIGHTON, TN 38011-6921
(901) 475-4752
(901) 475-1554
Mailing address
P.O. BOX 507, COVINGTON, TN 38019-0507
(901) 475-4752
(901) 475-1554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11374
TN
Other
Enumeration date
07/03/2007
Last updated
08/18/2009
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