Humboldt Primary Care, P.c.

NPI #1619199866 in Covington, Tennessee

Provider Information

NPI Number
1619199866
Entity Type
Organization
Organization Name
Humboldt Primary Care, P.c.
Primary Specialty
Health Maintenance Organization
Enumeration Date
May 3, 2007
Last Updated
Apr 1, 2008

Practice Location

Address
1830 HIGHWAY 51 S
ZIP Code
38019-3622
Phone
(901) 475-1260

Authorized Official

Name
MRS. JAYASREE CHANDA, MD
Title
DOCTOR
Phone
(901) 475-1260

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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