Organization
COVENANT MULTISPECIALTY GROUP
Active
Other names
Covenant Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN GRANT GETTS M.D. (OWNER)
(706) 868-3251
Entity
Organization
Contact information
Practice address
4106 COLUMBIA RD, SUITE 103, MARTINEZ, GA 30907-1450
(706) 863-1440
(706) 863-5418
Mailing address
4106 COLUMBIA RD, SUITE 103, MARTINEZ, GA 30907-1450
(706) 863-1440
(706) 863-5418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847566681C
—
GA
Enumeration date
11/28/2006
Last updated
11/14/2011
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