# MADISONVILLE PRIMARY CARE GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** United Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861780496
- **Authorized official:** MR. GREGORY BRIAN CAIN PA (OWNER)
- **Authorized official phone:** (423) 442-2121

## Contact information

- **Practice address:** 3959 HIGHWAY 411, MADISONVILLE, TN 37354-4417
- **Practice address phone:** (423) 442-2121
- **Practice address fax:** (423) 545-9556
- **Mailing address:** PO BOX 808, KINGSTON, TN 37763-0808
- **Mailing address phone:** (865) 224-7172
- **Mailing address fax:** (865) 224-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 11/05/2024