Organization
PRIMECARE CENTER, LLC
Active
Other names
PrimaCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R ZUPPA MD (MEDICAL DIRECTOR)
(706) 270-9989
Entity
Organization
Contact information
Practice address
102 N OAKS DR, DALTON, GA 30721-8392
(706) 270-9989
(706) 259-9601
Mailing address
102 N OAKS DR, DALTON, GA 30721-8392
(706) 270-9989
(706) 259-9601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52526190
BCBS GA
GA
Enumeration date
07/03/2006
Last updated
10/19/2007
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