| PC Associates, LLC | |
|
1002 Spotsylvania St New Athens IL 62264-1597 | |
| (618) 475-3731 | |
| (618) 475-3732 |
| Full Name | PC Associates, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1002 Spotsylvania St, New Athens, Illinois |
| Authorized Official Name and Position | Lisa K. Mcdonald (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6182574644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| PC Associates, LLC 4500 Memorial Dr Medical Affairs Credentialing Department Belleville IL 62226-5360 Ph: (618) 257-4644 | PC Associates, LLC 1002 Spotsylvania St New Athens IL 62264-1597 Ph: (618) 475-3731 |
| NPI Number | 1801109004 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801109004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |