Organization
TENNESSEE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW D JOHNSON MD (OWNER)
(931) 456-2728
Entity
Organization
Contact information
Practice address
768 S WILLOW AVE STE A, COOKEVILLE, TN 38501-3892
(931) 559-6900
Mailing address
15 IRIS LN, CROSSVILLE, TN 38555-7528
(931) 456-2728
(931) 400-5155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
01/03/2024
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