Provider Demographics
NPI:1053073494
Name:COVID SOLUTIONS
Entity Type:Organization
Organization Name:COVID SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANISER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIVDAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-824-4343
Mailing Address - Street 1:4151 GRAY HWY
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:GA
Mailing Address - Zip Code:31032-6101
Mailing Address - Country:US
Mailing Address - Phone:770-824-4343
Mailing Address - Fax:678-519-1089
Practice Address - Street 1:4151 GRAY HWY
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032-6101
Practice Address - Country:US
Practice Address - Phone:770-824-4343
Practice Address - Fax:678-519-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty