Organization
NEW PRIMECARE CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA NKOMAZANA (MANAGER)
(731) 376-1851
Entity
Organization
Contact information
Practice address
622 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 658-2120
(731) 659-2909
Mailing address
PO BOX 479, MIDDLETON, TN 38052-0479
(731) 658-2120
(731) 659-2909
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38934
TN
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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