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Organization

JOHN J KOVACICH MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH K KOVACICH (BUSINESS MANAGER)
(336) 372-2365
Entity
Organization

Contact information

Practice address
248 DOCTORS ST, SUITE A, SPARTA, NC 28675-9247
(336) 372-2481
(336) 372-5143
Mailing address
248 DOCTORS ST, SUITE A, SPARTA, NC 28675-9247
(336) 372-2481
(336) 372-5143

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23588
NC

Other

Enumeration date
11/29/2007
Last updated
11/30/2007
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