Provider Demographics
NPI:1720160880
Name:COVINGTON, ALFRED JENKINS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:JENKINS
Last Name:COVINGTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 FOY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2417
Mailing Address - Country:US
Mailing Address - Phone:252-937-2100
Mailing Address - Fax:252-937-7034
Practice Address - Street 1:124 FOY DR
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2417
Practice Address - Country:US
Practice Address - Phone:252-937-2100
Practice Address - Fax:252-937-7034
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95-01517207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890132UMedicaid
NC890132UMedicaid
NCDA4691Medicare ID - Type Unspecified