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Contact Information

PREMIER FAMILY HEALTHCARE
504 N JACKSON ST STE 103
TULLAHOMA, TN37388-3520
 Phone: 931-841-3821
 Fax: 931-841-3869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for PREMIER FAMILY HEALTHCARE · (Female)

NPI Number 1912171265
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2008
Last updated 02/05/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # APN08403
  • TN Medicaid 1510611
  • TN Medicaid 39293821
  • TN Other 4176719 BLUE CROSS
  • TN Other D02233 RR MC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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