Provider Demographics
NPI:1255088159
Name:VOLUNTEER PRIMARY CARE, LLC
Entity type:Organization
Organization Name:VOLUNTEER PRIMARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:STRADER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:865-268-5009
Mailing Address - Street 1:127 W MACON LN STE 2
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-4776
Mailing Address - Country:US
Mailing Address - Phone:865-268-5009
Mailing Address - Fax:865-800-4862
Practice Address - Street 1:127 W MACON LN STE 2
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-4776
Practice Address - Country:US
Practice Address - Phone:865-268-5009
Practice Address - Fax:865-800-4862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care