Doctor Name: | EDDIE D. COVERSON |
NPI Number: | 1376559856 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT0007026 |
Business Practice Address: | 6002 Professional Pkwy Suite 140 Douglasville, GA - 301345600 |
Business Phone Number: | 7709498558 |
Business Fax Number: | 7709496966 |
Mailing Address: | 900 Circle 75 Pkwy Se, Suite 1700 ATLANTA |
State: | GA |
Postal Code: | 303393035 |
Phone Number: | 7709536929 |
Fax Number: | 7709536972 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0007026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |