Primecare Clinic, Pllc

NPI #1194940452 in Bolivar, Tennessee

Provider Information

NPI Number: 1194940452
Entity Type: Organization
Organization Name: Primecare Clinic, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Apr 13, 2007
Last Updated: Apr 7, 2010

Practice Location

Address: 622 NUCKOLLS RD
City: Bolivar
State: Tennessee
ZIP Code: 38008-1532
Phone: (731) 658-2120

Authorized Official

Name: BARBARA NKOMAZANA
Title: PRACTICE MANAGER
Phone: (731) 376-1851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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