Covington, John Martin

Covington, John Martin is an individual health care provider with primary practice located at 2880 Tricom St , North Charleston SC 29406-9171. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Covington, John Martin can be contacted via phone (843) 797-5050.

Contact Information

Primary practice address
2880 Tricom St North Charleston SC 29406-9171
Fax: (843) 797-3633
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2227 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2227 South Carolina

Profile Details

NPI number 1952709008
LBN Legal business name Covington, John Martin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2014
Last updated Mar 12th, 2020 - about 5 years 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 1952709008 NPPES
South Carolina Other D043 ARCIS HEALTHCARE GROUP MEDICARE PTAN
South Carolina Other 1902246077 ARCIS HEALTHCARE GROUP MEDICARE PTAN
South Carolina MEDICAID 2088PA ARCIS HEALTHCARE GROUP MEDICARE PTAN

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