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Organization

COVINGTON PRIMARY CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALVIN JAMES MILLER JR. MD (PHYSICIAN)
(901) 840-3540
Entity
Organization

Contact information

Practice address
534 MUNFORD AVE, MUNFORD, TN 38058-6828
(901) 840-3540
(901) 840-3543
Mailing address
PO BOX 7, COVINGTON, TN 38019-0007
(901) 840-3540
(901) 840-3543

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD34001
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3847875
TN
Enumeration date
12/21/2006
Last updated
02/14/2008
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