National Provider Identifier Database

SDG PRIMARY AND IMMEDIATE CARE LLC
Rural Health


Contact Information

SDG PRIMARY AND IMMEDIATE CARE LLC
201 S FRONT ST
HALLS, TN38040-1547
Phone: 731-836-5617
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for SDG PRIMARY AND IMMEDIATE CARE LLC

NPI Number 1225437585
Legal business name
LBN
SDG PRIMARY AND IMMEDIATE CARE LLC
Authorized official JEFFREY HAMPTON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/21/2014
Last updated 01/31/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: Q007486

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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