# PRIME CARE MEDICAL CENTER PC

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

## Provider details

- **NPI number:** 1750324521
- **Authorized official:** JAMES DARRELL KING M.D. (PRESIDENT)
- **Authorized official phone:** (731) 645-7932

## Contact information

- **Practice address:** 1 PRIME CARE DR, SELMER, TN 38375-1864
- **Practice address phone:** (731) 645-7932
- **Mailing address:** 1 PRIME CARE DR, SELMER, TN 38375-1864
- **Mailing address phone:** (731) 645-7932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 08/05/2009