| NPI | 1669164307 |
|---|---|
| Doing Business As | UT PRIMARY CARE JAMESTOWN |
| Entity Type | Organization |
| Authorized Contact | CAROL A BURGESS Provider Enrollment Team Lead 865-670-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |