Organization
COVENANT MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE UTTERBACK (CHIEF FINANCIAL OFFICER)
(865) 374-5119
Entity
Organization
Contact information
Practice address
2210 SUTHERLAND AVE STE 110, KNOXVILLE, TN 37919-2337
(865) 525-4333
(865) 212-8879
Mailing address
2210 SUTHERLAND AVE STE 110, KNOXVILLE, TN 37919-2337
(865) 525-4333
(865) 212-8879
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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