MADISONVILLE PRIMARY CARE GROUP PLLC; NPI #1780304238

Contact Information

MADISONVILLE PRIMARY CARE GROUP PLLC

723 N TENNESSEE AVE
ETOWAH, TN 37331-1754

Phone: 423-263-2100
Fax: 423-781-7662
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for MADISONVILLE PRIMARY CARE GROUP PLLC

NPI Number	`1780304238`
LBN Legal business name	MADISONVILLE PRIMARY CARE GROUP PLLC
Authorized official	GREGORY CAIN - (PA-C, OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/02/2022
Last updated	11/04/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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