National Provider Identifier Database

MADISONVILLE PRIMARY CARE GROUP PLLC
Rural Health


Contact Information

MADISONVILLE PRIMARY CARE GROUP PLLC
3959 HIGHWAY 411
MADISONVILLE, TN37354-4417
Phone: 423-442-2121
Fax: 423-545-9556
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for MADISONVILLE PRIMARY CARE GROUP PLLC

NPI Number 1861780496
Legal business name
LBN
MADISONVILLE PRIMARY CARE GROUP PLLC
Authorized official GREGORY CAIN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/18/2011
Last updated 11/05/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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