# TENNESSEE PRIMARY CARE, LLC

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

## Provider details

- **NPI number:** 1760251946
- **Authorized official:** ANDREW D JOHNSON MD (OWNER)
- **Authorized official phone:** (931) 456-2728

## Contact information

- **Practice address:** 768 S WILLOW AVE STE A, COOKEVILLE, TN 38501-3892
- **Practice address phone:** (931) 559-6900
- **Mailing address:** 15 IRIS LN, CROSSVILLE, TN 38555-7528
- **Mailing address phone:** (931) 456-2728
- **Mailing address fax:** (931) 400-5155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2023
- **Last updated:** 01/03/2024