Organization
WINCHESTER PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOU-WEI CHIU MD (CEO)
(931) 392-4169
Entity
Organization
Contact information
Practice address
2020 COWAN HWY, WINCHESTER, TN 37398-2446
(931) 361-0100
(931) 962-8856
Mailing address
5833 AEDC RD, ESTILL SPRINGS, TN 37330-3915
(931) 392-4169
(931) 392-4187
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521794
—
TN
01
—
DR8040
RR MEDICARE
TN
Enumeration date
11/23/2010
Last updated
02/24/2017
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