Organization
COVENANT MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE G UTTERBACK (VP FINANCIAL SERVICES)
(865) 374-5119
Entity
Organization
Contact information
Practice address
1320 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1291
(865) 584-2146
(865) 584-9660
Mailing address
1400 CENTERPOINT BLVD, SUITE 202, BLDG A, KNOXVILLE, TN 37932-1979
(865) 374-5200
(865) 374-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
02/17/2016
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