Organization
COVENANT MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN DAVIS (OWNER)
(901) 530-0993
Entity
Organization
Contact information
Practice address
6759 BAUXHALL DR, GERMANTOWN, TN 38138-0629
(901) 530-0993
(901) 421-8586
Mailing address
6759 BAUXHALL DR, GERMANTOWN, TN 38138-0629
(901) 421-8586
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
10/20/2020
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