Organization · Type 2 NPI
Madisonville Primary Care Group PLLC
Rural Health Clinic/Center · Etowah, TN
NPI number
1780304238
Active
Practice location
723 N Tennessee Ave
Etowah, TN 37331-1754
Fax (423) 781-7662
Mailing address
PO Box 808
Kingston, TN 37763-0808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Etowah
About NPI 1780304238
Madisonville Primary Care Group PLLC's National Provider Identifier is 1780304238, issued on Sep 2, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Etowah, TN. The record was last updated on Nov 4, 2024.