Covenant Pediatrics, Pllc

LBN: Covenant Pediatrics, Pllc
Covenant Pediatrics, Pllc is an health care organization with primary practice located at 421 Old Riceville Rd Ste 2 , Athens TN 37303-3074. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Covenant Pediatrics, Pllc can be contacted via phone (423) 744-8755, or through Breeden, Omer via phone (423) 744-8755.

Contact Information

Primary practice address
421 Old Riceville Rd Ste 2 Athens TN 37303-3074
Fax: (423) 744-8568
Website:
Authorized official contact:
Name: Breeden, Omer

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X MD19704 Tennessee

Profile Details

NPI number 1659670412
LBN Legal business name Covenant Pediatrics, Pllc
DBA Doing business as
Authorized official Breeden, Omer
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2011
Last updated May 23rd, 2022 - about 2 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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