Organization
COVINGTON ASSOCIATES IN FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDELL SMITH M.D. (DOCTOR/OWNER)
(770) 787-5600
Entity
Organization
Contact information
Practice address
5294 ADAMS ST NE, COVINGTON, GA 30014-2628
(770) 787-5600
(770) 787-5601
Mailing address
PO BOX 2069, COVINGTON, GA 30015-2069
(770) 787-5600
(770) 787-5601
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
025674
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000269442M
—
GA
Enumeration date
12/17/2009
Last updated
08/20/2010
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