Graduated: 1977
NPI: 1144391657
Practice Locations (2)
COVENANT MEDICAL GROUP INC
576 FORT LOUDON MEDICAL CTR DR
LENOIR CITY, TN 377725676
COVENANT MEDICAL GROUP INC
111 CLYDE ST
LOUDON, TN 377741600
8654581554
Source: CMS National Downloadable File, September 2026.