Healthcare Provider Details

I. General information

NPI: 1154128288
Provider Name (Legal Business Name): UHS PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 CUSICK RD
ALCOA TN
37701-3127
US

IV. Provider business mailing address

PO BOX 415000-MSC 8548
NASHVILLE TN
37241-8548
US

V. Phone/Fax

Practice location:
  • Phone: 865-970-0025
  • Fax: 865-970-2089
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BETH MAYNARD
Title or Position: VICE PRESIDENT
Credential:
Phone: 865-585-8986