Primecare Clinic, Pllc | |
100 Chickadee Ave Middleton TN 38052-3425 | |
(731) 376-0034 | |
Not Available |
Full Name | Primecare Clinic, Pllc |
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Speciality | Family Medicine |
Location | 100 Chickadee Ave, Middleton, Tennessee |
Authorized Official Name and Position | Barbara Nkomazana (PRACTICE MANAGER) |
Authorized Official Contact | 7313761851 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primecare Clinic, Pllc Po Box 479 Bolivar TN 38008-0479 Ph: () - | Primecare Clinic, Pllc 100 Chickadee Ave Middleton TN 38052-3425 Ph: (731) 376-0034 |
NPI Number | 1407076060 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 04/07/2010 |
Identifier | Type | State | Issuer |
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1407076060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25889 (Tennessee) | Primary |
207R00000X | Internal Medicine | 38934 (Tennessee) | Secondary |
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