Provider Demographics
NPI:1003026790
Name:GEORGE K COVERT
Entity Type:Organization
Organization Name:GEORGE K COVERT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:K
Authorized Official - Last Name:COVERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-898-6940
Mailing Address - Street 1:PO BOX 181
Mailing Address - Street 2:
Mailing Address - City:ASHDOWN
Mailing Address - State:AR
Mailing Address - Zip Code:71822-0181
Mailing Address - Country:US
Mailing Address - Phone:870-898-6940
Mailing Address - Fax:870-898-4191
Practice Address - Street 1:181 WEST MAIN
Practice Address - Street 2:
Practice Address - City:ASHDOWN
Practice Address - State:AR
Practice Address - Zip Code:71822-3360
Practice Address - Country:US
Practice Address - Phone:870-898-6940
Practice Address - Fax:870-898-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE0730207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty