Organization
COVENANT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOZIKA ORJIOKE MD (CEO)
(770) 990-8212
Entity
Organization
Contact information
Practice address
3605 SANDY PLAINS RD STE 240-235, MARIETTA, GA 30066-3068
(770) 990-8212
Mailing address
2330 TALL TIMBERS LN, MARIETTA, GA 30066-2117
(770) 990-8212
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
65598
GA
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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