1101 Primary Care, Pllc
NPI #1083074587 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1083074587
- Entity Type
- Organization
- Organization Name
- 1101 Primary Care, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 26, 2016
- Last Updated
- Feb 6, 2020
Practice Location
- Address
- 1101 NEAL ST
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-0901
- Phone
- (931) 528-7797
Authorized Official
- Name
- CAROLYN SHIRLEY
- Title
- PRACTICE MANAGER
- Phone
- (931) 528-7797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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