Organization
PINEVILLE PRIMARY CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVAPIRAN JAISHANKAR M.D. (OWNER)
(606) 337-7157
Entity
Organization
Contact information
Practice address
850 RIVERVIEW RD, THIRD FLOOR, PINEVILLE, KY 40977-1430
(606) 337-7157
Mailing address
332 CYPRESS ST, PINEVILLE, KY 40977-1422
(606) 337-7157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32079
TN
208000000X
Pediatrics Physician
Primary
33451
TN
Other
Enumeration date
10/03/2006
Last updated
09/11/2025
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