Optimum Primary Care PC

NPI #1952728289 in Kingsport, Tennessee

Provider Information

NPI Number: 1952728289
Entity Type: Organization
Organization Name: Optimum Primary Care PC
Primary Specialty: Family Medicine
Enumeration Date: Mar 25, 2014
Last Updated: Mar 25, 2014

Practice Location

Address: 444 CLINCHFIELD ST
Address 2: SUITE 303
City: Kingsport
State: Tennessee
ZIP Code: 37660-3606
Phone: (423) 914-3195

Authorized Official

Name: DR. MACK LYNN HICKS, M.D.
Title: PHYSICIAN
Phone: (423) 914-3195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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