Individual
ELIZABETH P COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
217 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-5220
(770) 479-5011
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002540
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285892935
CANTON NPI
GA
01
—
1871745604
ROSWELL NPI
GA
Enumeration date
08/06/2009
Last updated
02/15/2018
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