# PHYSICIAN FIRST PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629108691
- **Authorized official:** MR. GERARD K MAZZA MD (SUPERVISING)
- **Authorized official phone:** (423) 476-3330

## Contact information

- **Practice address:** 2725 KEITH ST NW, CLEVELAND, TN 37312
- **Practice address phone:** (423) 476-3330
- **Practice address fax:** (423) 476-5802
- **Mailing address:** 2725 KEITH ST NW, CLEVELAND, TN 37312
- **Mailing address phone:** (423) 476-3330
- **Mailing address fax:** (423) 476-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD015727 | TN | Yes |
| 363A00000X | Physician Assistant | PA0000000148 | TN | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 10/03/2024