Organization
HOMETOWN PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEIGH SHAVER NP (NURSE PRACTITIONER)
(423) 775-3363
Entity
Organization
Contact information
Practice address
7794 RHEA COUNTY HWY STE 101, DAYTON, TN 37321-5981
(423) 775-3363
(423) 775-3366
Mailing address
PO BOX 24927, CHATTANOOGA, TN 37422-4927
(423) 643-2576
(423) 648-4570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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