Organization
COVINGTON CLINIC PC
Active
Other names
COVINGTON CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK OJO DANIA M.D., M.S. (PRESIDENT/CEO)
(770) 688-5558
Entity
Organization
Contact information
Practice address
4480 COVINGTON HWY, SUITE B, DECATUR, GA 30035-1218
(404) 775-1973
Mailing address
4480 COVINGTON HWY, SUITE B, DECATUR, GA 30035-1218
(404) 775-1973
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
061956
GA
Other
Enumeration date
07/01/2009
Last updated
07/04/2009
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