Organization
PRIMARY CARE - SOUTH LIMITED
Active
Other names
Primary Care South LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOM MATTHEW INGRAM (OWNER)
(731) 427-0470
Entity
Organization
Contact information
Practice address
1385 SOUTH HIGHLAND AVE, SUITE B-1, JACKSON, TN 38301
(731) 427-0470
(731) 427-0995
Mailing address
1385 SOUTH HIGHLAND AVE, SUITE B-1, JACKSON, TN 38301
(731) 427-0470
(731) 427-0995
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
TN
Other
Enumeration date
07/16/2018
Last updated
09/06/2024
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