# PROMED PREFERRED TN 2 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184576548
- **Authorized official:** LEV GRINMAN MD (PRESIDENT)
- **Authorized official phone:** (615) 499-3165

## Contact information

- **Practice address:** 2893 HUNTSVILLE HWY STE B, FAYETTEVILLE, TN 37334-6681
- **Practice address phone:** (931) 297-1050
- **Practice address fax:** (844) 749-1106
- **Mailing address:** 329 S OYSTER BAY RD \# 2059, PLAINVIEW, NY 11803-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 02/10/2026
- **Last updated:** 05/28/2026