Individual
TROY KEVIN COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 COAL CHUTE RD, ELIZABETHTON, TN 37643
(423) 297-8019
Mailing address
219 COAL CHUTE RD, ELIZABETHTON, TN 37643-4941
(423) 297-8019
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
0022701
TN
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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