| East Tennessee Primary Care, Inc | |
|
3300 Wilcox Blvd. Chattanooga TN 37411 | |
| (423) 803-9180 | |
| (423) 803-9181 |
| Full Name | East Tennessee Primary Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3300 Wilcox Blvd., Chattanooga, Tennessee |
| Authorized Official Name and Position | Winnifred Dunbar-davies (MEDICAL DOCTOR/OWNER) |
| Authorized Official Contact | 4237785584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tennessee Primary Care, Inc Po Box 80982 Chattanooga TN 37414 Ph: (423) 495-4349 | East Tennessee Primary Care, Inc 3300 Wilcox Blvd. Chattanooga TN 37411 Ph: (423) 803-9180 |
| NPI Number | 1184801631 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184801631 | NPI | - | NPPES |
| 44104835 | Other | TN | TENNCARE SELECT |
| 4104835 | Other | TN | BLUE CROSS OF TENNESSEE |
| 5487562 | Other | TN | CIGNA |
| TN0101 | Other | TN | UHC OF THE RIVER VALLEY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27162 (Tennessee) | Primary |
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