Organization
PRIMARY CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA NEPOMUCENO COLEMAN MD (OWNER)
(423) 581-7040
Entity
Organization
Contact information
Practice address
204 SHAVER DR, TALBOTT, TN 37877-8552
(423) 581-7040
(423) 581-9563
Mailing address
204 SHAVER DR, TALBOTT, TN 37877-8552
(423) 581-7040
(423) 581-9563
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000029081
TN
363LF0000X
Family Nurse Practitioner
APN0000015927
TN
363LF0000X
Family Nurse Practitioner
APN0000017666
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3374269
—
TN
Enumeration date
08/03/2006
Last updated
02/25/2021
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