Primary Care Associates of Williamson

Organization Active NPI Family Medicine Physician · South Williamson, KY

NPI 1003972951 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1003972951
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
02231 (KY)
Legal business name
PRIMARY CARE ASSOCIATES OF WILLIAMSON
Practice address
306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095
Phone
(606) 237-0053
Fax
(606) 237-8485
NPI assigned
Dec 28, 2006
Organization subpart
No

Authorized official

Name
Mrs. Cassie N Bono
Title
Accounts Representative
Phone
(606) 237-0053

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

306 Hospital Dr
Ste 105
South Williamson, KY 41503
Phone (606) 237-0053

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207Q00000X 02231 KY Yes

Addresses

Primary practice location

306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095

Mailing address

306 Hospital Dr
Suite 105
South Williamson, KY 41503-4095
Phone (606) 237-0053

Other identifiers

IdentifierTypeStateIssuer
0010395000MedicaidWV

Other providers in South Williamson, KY

All providers in South Williamson, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.