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Individual

MR. CONNELL COVINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3350 SIX FORKS RD, RALEIGH, NC 27609-7233
(919) 881-9440
(919) 881-9465
Mailing address
7413 SIX FORKS RD # 307, RALEIGH, NC 27615-6164
(919) 881-9440
(919) 881-9465

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
22696
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1206226
UNITED HEALTHCARE
NC
01
1539139
CIGNA
NC
01
24752
BLUE CROSS BLUE SHIELD
NC
01
4209043
AETNA
NC
05
8924752
NC
Enumeration date
03/21/2006
Last updated
11/15/2022
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