| Organization Name: | COVERT CLINIC, P.A. |
| NPI Number: | 1982841144 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE K COVERT (SOLE OWNER) |
| Mailing Address: | 122 Southern Dr Ashdown |
| State: | AR US |
| Postal Code: | 718228668 |
| Phone Number: | 8708986940 |
| Fax Number: | 8708984191 |
| NPI Enumeration Date: | 01/09/2009 |
| NPI Last Update Date: | 08/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | E-0730 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |