Organization
EAST TENNESSEE PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINNIFRED DUNBAR-DAVIES MD (MEDICAL DOCTOR/OWNER)
(423) 778-5584
Entity
Organization
Contact information
Practice address
3300 WILCOX BLVD., CHATTANOOGA, TN 37411
(423) 803-9180
(423) 803-9181
Mailing address
PO BOX 80982, CHATTANOOGA, TN 37414
(423) 495-4349
(423) 495-4934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27162
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4104835
BLUE CROSS OF TENNESSEE
TN
01
—
44104835
TENNCARE SELECT
TN
01
—
5487562
CIGNA
TN
01
—
TN0101
UHC OF THE RIVER VALLEY
TN
Enumeration date
01/28/2008
Last updated
01/11/2017
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