Covenant Family Medicine

LBN: Covenant Family Medicine
Covenant Family Medicine is an health care organization with primary practice located at 2098 Teron Trace Suite 150 , Dacula GA 30019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Covenant Family Medicine can be contacted via phone (678) 730-1620, or through Moon, Henry Song via phone (678) 730-1620.

Contact Information

Primary practice address
2098 Teron Trace Suite 150 Dacula GA 30019
Phone: (678) 730-1620
Fax: (678) 730-0858
Website:
Map and Directions
Authorized official contact:
Name: Moon, Henry Song Doctor of Medicine (MD)
Phone: (678) 730-1620

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1962532085
LBN Legal business name Covenant Family Medicine
DBA Doing business as
Authorized official Moon, Henry Song Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Jan 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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