Organization
PRIMARY CARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM ZIEGLER WALLS RHIT (OFFICE MANAGER)
(865) 882-3211
Entity
Organization
Contact information
Practice address
413 DEVONIA ST, HARRIMAN, TN 37748-2010
(865) 882-3211
(865) 882-9889
Mailing address
413 DEVONIA ST, HARRIMAN, TN 37748-2010
(865) 882-3211
(865) 882-9889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD005463
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006767
BLUE CROSS
TN
05
—
3373554
—
TN
01
—
CB4807
RAILROAD MEDICARE
TN
Enumeration date
06/27/2005
Last updated
10/08/2009
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