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Organization

INNOVATIVE PRIMARY CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY LOUISE PINSON (OFFICE ADMINISTRATOR)
(865) 200-8672
Entity
Organization

Contact information

Practice address
7035 MIDDLEBROOK PIKE STE B, KNOXVILLE, TN 37909-1387
(865) 200-8672
(865) 544-1570
Mailing address
7035 MIDDLEBROOK PIKE STE B, KNOXVILLE, TN 37909-1387
(865) 200-8672
(865) 544-1570

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
363AM0700X
Medical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q003416
TN
Enumeration date
10/17/2016
Last updated
11/27/2019
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