Wal-Mart Stores East Lp
Specialty details in registry · Covington, GA
At a glance
4200 Salem Rd, Covington, GA 30016-4533
NPPES record updated Aug 29, 2023. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
4200 Salem RdCovington, GA 30016-4533
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3336C0003X
- Enumeration date
- Jan 12, 2012
- Record updated
- Aug 29, 2023
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
332B00000X
Specialty details in registry
3336C0003X · Primary
License reported: PHRE009811 GA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4200 Salem RdCovington, GA 30016-4533
- Phone
- (678) 212-3202
Mailing address
702 SW 8TH STBENTONVILLE, AR 727166209
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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