Organization
COVINGTON HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GWINN (BUSINESS CONSULTANT)
(334) 303-5892
Entity
Organization
Contact information
Practice address
1608-A GILMER AVE, TALLASSEE, AL 36078-2314
(334) 782-5028
(334) 782-5028
Mailing address
1608-A GILMER AVE, TALLASSEE, AL 36078-2314
(334) 782-5028
(334) 782-5028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-049268
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-049268
CRNP
AL
Enumeration date
09/12/2014
Last updated
11/19/2023
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