Individual
JOHN MARTIN COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Mailing address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2227
SC
363AS0400X
Surgical Physician Assistant
Primary
2227
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902246077
ARCIS HEALTHCARE GROUP NPI
SC
05
—
2088PA
—
SC
01
—
D043
ARCIS HEALTHCARE GROUP MEDICARE PTAN
SC
Enumeration date
12/05/2014
Last updated
10/04/2024
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