Covington Gresham, Tina Darnise

Covington Gresham, Tina Darnise is an sole proprietor health care provider with primary practice located at 745 S Church St Ste 601A , Murfreesboro TN 37130-4980. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Covington Gresham, Tina Darnise can be contacted via phone (615) 295-2411.

Contact Information

Primary practice address
745 S Church St Ste 601A Murfreesboro TN 37130-4980
Phone: (615) 295-2411
Fax: (833) 902-3584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD024607 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 24607 Tennessee

Profile Details

NPI number 1972573038
LBN Legal business name Covington Gresham, Tina Darnise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Jan 3rd, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972573038 NPPES
Tennessee MEDICAID 3717981
Tennessee MEDICAID Q028466

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