Provider Demographics
NPI:1760599625
Name:METHODIST PRIMARY CARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:METHODIST PRIMARY CARE ASSOCIATES, INC.
Other - Org Name:MYMD - OAKLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-516-0725
Mailing Address - Street 1:7243 HIGHWAY 64
Mailing Address - Street 2:OAKLAND MARKET PLACE
Mailing Address - City:OAKLAND
Mailing Address - State:TN
Mailing Address - Zip Code:38060-3403
Mailing Address - Country:US
Mailing Address - Phone:901-465-2227
Mailing Address - Fax:901-465-2102
Practice Address - Street 1:7243 HIGHWAY 64
Practice Address - Street 2:OAKLAND MARKET PLACE
Practice Address - City:OAKLAND
Practice Address - State:TN
Practice Address - Zip Code:38060-3403
Practice Address - Country:US
Practice Address - Phone:901-465-2227
Practice Address - Fax:901-465-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty