Healthcare Provider Details

I. General information

NPI: 1598715377
Provider Name (Legal Business Name): PRIMARY CARE ASSOCIATES OF SMITH COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 NEW MIDDLETON HWY SUITE A
GORDONSVILLE TN
38563-6516
US

IV. Provider business mailing address

8 NEW MIDDLETON HWY SUITE A
GORDONSVILLE TN
38563-6516
US

V. Phone/Fax

Practice location:
  • Phone: 615-683-3400
  • Fax: 615-683-3402
Mailing address:
  • Phone: 615-683-3400
  • Fax: 615-683-3402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN L SEXTON
Title or Position: PRESIDENT
Credential: PA-C
Phone: 615-683-3400