Organization
COVENANT MEDICAL FAIRVIEW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY R CARPENTER (PRACTICE ADMINISTRATOR)
(615) 218-8566
Entity
Organization
Contact information
Practice address
2340 FAIRVIEW BLVD STE 600D, FAIRVIEW, TN 37062-9457
(615) 266-2177
Mailing address
2340 FAIRVIEW BLVD STE 600D, FAIRVIEW, TN 37062-9457
(615) 266-2177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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