| Primecare Clinic, Pllc | |
|
622 Nuckolls Rd Bolivar TN 38008-1532 | |
| (731) 658-2120 | |
| Not Available |
| Full Name | Primecare Clinic, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 622 Nuckolls Rd, Bolivar, 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 |
|---|---|
| Primecare Clinic, Pllc Po Box 479 Bolivar TN 38008-0479 Ph: () - | Primecare Clinic, Pllc 622 Nuckolls Rd Bolivar TN 38008-1532 Ph: (731) 658-2120 |
| NPI Number | 1194940452 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 04/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194940452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25889 (Tennessee) | Primary |
| 207R00000X | Internal Medicine | 38934 (Tennessee) | Secondary |
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