Organization
PRIMECARE NOW OF COLUMBIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN N FENNEL (OFFICE MANAGER)
(931) 388-0450
Entity
Organization
Contact information
Practice address
1202 S JAMES CAMPBELL BLVD, SUITE 15, COLUMBIA, TN 38401-5193
(931) 388-0450
(931) 388-0460
Mailing address
1202 SOUTH JAMES CAMPBELL BOULEVARD, SUITE 15, COLUMBIA, TN 38401
(931) 388-0450
(931) 388-0460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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