Whalio Doctors

NPI 1346816667

Covenant Primary & Behavioral Care

Organisation Multi-Specialty Clinic/Center Pembroke, NC

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
Ambulatory Health Care Facilities Taxonomy 261QM1300X
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

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.