Organization
MADISONVILLE PRIMARY CARE GROUP PLLC
Active
Other names
United Primary Care Etowah
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BRIAN CAIN (PA-C, OWNER)
(423) 442-2121
Entity
Organization
Contact information
Practice address
723 N TENNESSEE AVE, ETOWAH, TN 37331-1754
(423) 263-2100
(423) 781-7662
Mailing address
PO BOX 808, KINGSTON, TN 37763-0808
(865) 224-7172
(865) 224-7171
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
11/04/2024
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