Covenant Family Medicine in Dacula - Family Medicine
Covenant Family Medicine - NPI 1962532085
Covenant Family Medicine is a Family Medicine in Dacula, Georgia. Covenant Family Medicine practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Covenant Family Medicine is 1962532085. The last update date is 2010-01-15.
Covenant Family Medicine's current location address is 2098 Teron Trace Suite 150, Dacula, Georgia. You can contact this provider via phone number 6787301620 and fax number 6787300858. The mailing address for Covenant Family Medicine is 2098 Teron Trace Suite 150, Dacula, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Family Medicine |
|---|---|
| Address | 2098 Teron Trace Suite 150, Dacula, Georgia |
| Phone Number | 6787301620 |
| Fax Number | 6787300858 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Moon Song Henry |
| Credentials | MD |
| Telephone Number | 6787301620 |
NPI Number Detail
| NPI Number | 1962532085 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2010-01-15 |
Provider Mailing Address Detail
| Address | 2098 Teron Trace Suite 150 |
|---|---|
| City | Dacula |
| State | Georgia (GA) |
| Post Code | 30019 |
| Phone Number | 6787301620 |
| Fax Number | 6787300858 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code issued to Covenant Family Medicine by the Centers for Medicare & Medicaid Services?
The Covenant Family Medicine has been assigned the NPI (National Provider Identifier) 1962532085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Covenant Family Medicine's physical address?
The Covenant Family Medicine is physically located at 2098 Teron Trace Suite 150, in the city of Dacula, GA, with the postal code 30019.
What is Covenant Family Medicine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Covenant Family Medicine's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962532085 to Covenant Family Medicine?
The Covenant Family Medicine received its 1962532085 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date was the information regarding Covenant Family Medicine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Covenant Family Medicine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-15.