PREMIER MEDICAL GROUP PC NPI 1740242957

NPI Information

PREMIER MEDICAL GROUP PC is a general practice in Clarksville, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMIER MEDICAL GROUP PC NPI is 1740242957. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pmedical Group.

The provider's business location address is:

490 DUNLOP LN
CLARKSVILLE, TN
ZIP 37040-007
Phone: (931) 245-7000

The provider's authorized official is Melissa Liverett .
The authorized official title is Chief Financial Administrator and has the following contact phone number (931) 245-7000.

The CLIA number assigned to this NPI record is 44D0306704 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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