National Provider Identifier Database

PREMIER PRIMARY CARE CLINIC INC
Rural Health


Contact Information

PREMIER PRIMARY CARE CLINIC INC
215 HAWKS RD STE 6
MARTIN, TN38237-2742
Phone: 731-281-7501
Fax: 731-281-7503
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for PREMIER PRIMARY CARE CLINIC INC

NPI Number 1962196972
Legal business name
LBN
PREMIER PRIMARY CARE CLINIC INC
Authorized official MICHAEL COLEMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/05/2023
Last updated 06/05/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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