NPI 1205002888

Covenant Family Allergy, PC

Organisation Allergy & Immunology Physician North Augusta, SC

Practice location

Address: 616 Edgefield Rd Suite 180, North Augusta, SC 29841-1938
Phone: (803) 279-7666
Fax: (803) 279-0708

Authorised official

Name: Matthew T Clark
Title: Physician/Owner
Phone: (803) 441-8648

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 28227 (SC)

Other Allergy & Immunology providers in South Carolina →

Registry record

NPI: 1205002888
Entity type: Organization
NPI issued: 5 May 2008
Record last updated: 18 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.