NPI 1346816667
Covenant Primary & Behavioral Care
Practice location
- Address
- 812 Candy Park Rd STE 6101-A, Pembroke, NC 28372-9120
- Phone
- (910) 778-5455
- Fax
- (866) 423-7783
- Mailing address
- PO Box 1629, Pembroke, NC 28372-1629
Authorised official
- Name
- William Joshua Johnson
- Title
- Ceo & Provider
- Phone
- (910) 778-5455
Registered specialties (3)
Multi-Specialty Clinic/Center
Primary
Family Nurse Practitioner
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1346816667
- Entity type
- Organization
- NPI issued
- 27 May 2021
- Record last updated
- 25 Jul 2022
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.