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Organization
PENSACOLA PRIMARY CARE, INC.
Active
Organization
PENSACOLA PRIMARY CARE, INC.
Active
Parent organization
PENSACOLA PRIMARY CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENSACOLA PRIMARY CARE, INC.
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(850) 494-3917
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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