Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primary Care Clinic of Gibson County, PLLC

Organization Family Medicine Physician · NPI 1174520829

Primary Care Clinic of Gibson County, PLLC is a Family Medicine Physician in Trenton, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Hospital Dr
Trenton, TN 38382-3321
Phone: (731) 855-3510
Fax: (731) 855-1387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3704891 (TN)

Record details

NPI number1174520829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James William — Md · (731) 855-3510
Other names Primary Care Center
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 14, 2011
Mailing address500 Hospital Dr, Trenton, TN 38382-3321

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