Organization
COVENANT MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE UTTERBACK (VP FINANCIAL SERVICES)
(865) 374-5119
Entity
Organization
Contact information
Practice address
205 CORPORATE PL, ALCOA, TN 37701-1940
(865) 331-9050
(865) 374-2008
Mailing address
1400 CENTERPOINT BLVD STE 202, KNOXVILLE, TN 37932-2146
(865) 374-5200
(865) 374-5201
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
11/08/2023
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