Organization Name: | COVINGTON INTERNAL PHYSICIANS PC |
NPI Number: | 1629068721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE W CHAMBERS (PRESIDENT) |
Mailing Address: | 56 E Main St Munford |
State: | TN US |
Postal Code: | 380586054 |
Phone Number: | 9018373735 |
Fax Number: | 9018378532 |
NPI Enumeration Date: | 10/28/2005 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 018580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |