Organization Name: | PRIMARY CARE ASSOCIATES, PC |
NPI Number: | 1306853965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE TURNER CONNELL (ADMINISTRATOR) |
Mailing Address: | 204 Shaver Dr Talbott |
State: | TN US |
Postal Code: | 378778552 |
Phone Number: | 4235817040 |
Fax Number: | 4235819563 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000015927 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |