| Blair Primary Care, Llc | |
|
315 Grady Rd Etowah TN 37331-1903 | |
| (423) 263-5400 | |
| (423) 263-0674 |
| Full Name | Blair Primary Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 315 Grady Rd, Etowah, Tennessee |
| Authorized Official Name and Position | Joshua C Blair (NURSE PRACTITIONER) |
| Authorized Official Contact | 4232635400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Primary Care, Llc Po Box 842 Etowah TN 37331-0842 Ph: (423) 263-5400 | Blair Primary Care, Llc 315 Grady Rd Etowah TN 37331-1903 Ph: (423) 263-5400 |
| NPI Number | 1811348303 |
|---|---|
| Provider Enumeration Date | 06/25/2016 |
| Last Update Date | 06/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811348303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18159 (Tennessee) | Primary |
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