| NPI | 1639765902 | 
|---|---|
| Doing Business As | PRIMARY TELECARE LLC | 
| Entity Type | Organization | 
| Authorized Contact | ERIKA GREEN Owner 317-703-4414 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Enumeration Date | 2020-12-21 | 
| Last Update Date | 2020-12-21 |