| 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 |
|---|---|
| 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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