Organization
COVENANT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER STEPHENS MD (OWNER)
(615) 441-6140
Entity
Organization
Contact information
Practice address
415 HENSLEE DR, DICKSON, TN 37055-2166
(615) 441-6140
(615) 441-6190
Mailing address
415 HENSLEE DR, DICKSON, TN 37055-2166
(615) 441-6140
(615) 441-6190
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
01/08/2008
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