| Innovative Primary Care, LLC | |
|
7035 Middlebrook Pike Ste B Knoxville TN 37909-1387 | |
| (865) 200-8672 | |
| (865) 544-1570 |
| Full Name | Innovative Primary Care, LLC |
|---|---|
| Speciality | Physician Assistant - Medical |
| Location | 7035 Middlebrook Pike Ste B, Knoxville, Tennessee |
| Authorized Official Name and Position | Stacy Louise Pinson (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8652008672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Primary Care, LLC 7035 Middlebrook Pike Ste B Knoxville TN 37909-1387 Ph: (865) 200-8672 | Innovative Primary Care, LLC 7035 Middlebrook Pike Ste B Knoxville TN 37909-1387 Ph: (865) 200-8672 |
| NPI Number | 1366993263 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366993263 | NPI | - | NPPES |
| Q003416 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Primary |
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