Organization
COVENANT FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALAN WILSON MD (PRESIDENT)
(615) 245-1150
Entity
Organization
Contact information
Practice address
1000 HIGHWAY 76, CLARKSVILLE, TN 37043-8405
(931) 245-1150
(931) 245-0605
Mailing address
PO BOX 30594, CLARKSVILLE, TN 37040-0010
(931) 245-1150
(931) 245-0605
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
15390
TN
Other
Enumeration date
12/22/2010
Last updated
11/05/2019
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