Covington Primary Care, PLLC
Organization Active NPI Internal Medicine Physician · Munford, TN
NPI 1104980168 · NPPES record last updated Feb 14, 2008
Key facts
- NPI
- 1104980168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD34001 (TN)
- Legal business name
- COVINGTON PRIMARY CARE, PLLC
- Practice address
- 534 Munford Ave
Munford, TN 38058-6828 - Phone
- (901) 840-3540
- Fax
- (901) 840-3543
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Alvin James Miller Jr., MD
- Title
- Physician
- Phone
- (901) 840-3540
Practitioners 2
-
Sue Miller, MD
National Provider Directory
Locations
534 Munford Ave
Munford, TN 38058
Phone (901) 840-3540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MD34001 | TN | Yes |
Addresses
Primary practice location
534 Munford Ave
Munford, TN 38058-6828
Mailing address
PO Box 7
Covington, TN 38019-0007
Phone (901) 840-3540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3847875 | Medicaid | TN |
Other providers in Munford, TN
- Morgan Brewer
- Juanita Brown
- Jayson D Cannon
- George W Chambers
- Covington Internal Physicians PC
- Sarah Thompson Crawford
- Michelle D Crump
- Michelle Lynn Duncan
- Charity Michelle Dyson
- Belinda Jean Fleming
All providers in Munford, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.