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Organization
MADISONVILLE PRIMARY CARE GROUP PLLC
Active
Organization
MADISONVILLE PRIMARY CARE GROUP PLLC
Active
Other names
United Primary Care Etowah
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BRIAN CAIN (PA-C, OWNER)
(423) 442-2121
Entity
Organization
Contact information
Practice address
723 N TENNESSEE AVE, ETOWAH, TN 37331-1754
(423) 263-2100
(423) 781-7662
Mailing address
PO BOX 808, KINGSTON, TN 37763-0808
(865) 224-7172
(865) 224-7171
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/02/2022
Last updated
11/04/2024
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