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Organization
COVENANT MULTISPECIALTY GROUP
Active
Organization
COVENANT MULTISPECIALTY GROUP
Active
Other names
Covenant Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN GRANT GETTS M.D. (OWNER)
(706) 868-3251
Entity
Organization
Contact information
Practice address
4106 COLUMBIA RD, SUITE 103, MARTINEZ, GA 30907-1450
(706) 863-1440
(706) 863-5418
Mailing address
4106 COLUMBIA RD, SUITE 103, MARTINEZ, GA 30907-1450
(706) 863-1440
(706) 863-5418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847566681C
—
GA
Enumeration date
11/28/2006
Last updated
11/14/2011
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