PREMISE HEALTH OF TENNESSEE MEDICAL P.C NPI 1578239968

NPI Information

NPI: 1578239968
Provider Name: PREMISE HEALTH OF TENNESSEE MEDICAL, P.C

Doing Business As: DUCK RIVER ELECTRIC - LEWISBURG

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1114 NASHVILLE HWY
LEWISBURG, TN
ZIP 37091
Phone: (931) 422-2030
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PREMISE HEALTH OF TENNESSEE MEDICAL, P.C is a multi-specialty clinic center in Lewisburg, TN. PREMISE HEALTH OF TENNESSEE MEDICAL, P.C NPI is 1578239968. The provider is registered as an organization entity type.
The provider Is Doing Business As Duck River Electric - Lewisburg.

The provider's business location address is:

1114 NASHVILLE HWY
LEWISBURG, TN
ZIP 37091
Phone: (931) 422-2030

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 44D2115994 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2021 and was last updated on 9/15/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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