| United Primary Care Etowah | |
|
723 N Tennessee Ave Etowah TN 37331-1754 | |
| (423) 263-2100 | |
| (423) 781-7662 |
| Full Name | United Primary Care Etowah |
|---|---|
| Speciality | Clinic/Center |
| Location | 723 N Tennessee Ave, Etowah, Tennessee |
| Authorized Official Name and Position | Gregory Brian Cain (PA-C, OWNER) |
| Authorized Official Contact | 4234422121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Primary Care Etowah Po Box 808 Kingston TN 37763-0808 Ph: (865) 224-7172 | United Primary Care Etowah 723 N Tennessee Ave Etowah TN 37331-1754 Ph: (423) 263-2100 |
| NPI Number | 1780304238 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 6507037645 |
|---|---|
| Medicare Enrollment ID | O20220929002072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780304238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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