44D1004660 CLIA NUMBER - PRIMARY CARE AND GERIATRICS PC

Laboratory Demographics

CLIA Number: 44D1004660

Facility Name: PRIMARY CARE AND GERIATRICS PC

Facility Address:
711 MCFARLAND ST
MORRISTOWN, TN
ZIP 37814
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Facility Phone Number: 423 317-7412

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669676490

Taxonomy: 207QG0300X - Family Medicine
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	44D1004660
LAB Type	Physician Office
Facility Name	PRIMARY CARE AND GERIATRICS PC
Street	711 MCFARLAND ST
City	MORRISTOWN
State	TN
ZIP	37814
Phone	423 317-7412
CertificateType	4
CertificateEffectiveDate	10/2/2022
CertificateExpirationDate	10/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024