Primecare Now of Columbia

NPI #1528201126 in Columbia, Tennessee

Provider Information

NPI Number
1528201126
Entity Type
Organization
Organization Name
Primecare Now of Columbia
Primary Specialty
Physician Assistant
Enumeration Date
Apr 13, 2009
Last Updated
Apr 13, 2009

Practice Location

Address
1202 S JAMES CAMPBELL BLVD
Address 2
SUITE 15
ZIP Code
38401-5193
Phone
(931) 388-0450

Authorized Official

Name
MRS. ELLEN N FENNEL
Title
OFFICE MANAGER
Phone
(931) 388-0450

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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