Primary Care Associates Pc | |
413 Devonia St Harriman TN 37748-2010 | |
(865) 882-3211 | |
(865) 882-9889 |
Full Name | Primary Care Associates Pc |
---|---|
Speciality | Family Medicine |
Location | 413 Devonia St, Harriman, Tennessee |
Authorized Official Name and Position | Kim Ziegler Walls (OFFICE MANAGER) |
Authorized Official Contact | 8658823211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Primary Care Associates Pc 413 Devonia St Harriman TN 37748-2010 Ph: (865) 882-3211 | Primary Care Associates Pc 413 Devonia St Harriman TN 37748-2010 Ph: (865) 882-3211 |
NPI Number | 1801892609 |
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Provider Enumeration Date | 06/27/2005 |
Last Update Date | 10/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801892609 | NPI | - | NPPES |
2006767 | Other | TN | BLUE CROSS |
3373554 | Medicaid | TN | |
CB4807 | Other | TN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD005463 (Tennessee) | Primary |
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