# SDG PRIMARY AND IMMEDIATE CARE LLC

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

## Provider details

- **NPI number:** 1225437585
- **Authorized official:** JEFFREY S HAMPTON FNP (PRESIDENT)
- **Authorized official phone:** (731) 676-1840

## Contact information

- **Practice address:** 201 S FRONT ST, HALLS, TN 38040-1547
- **Practice address phone:** (731) 836-5617
- **Mailing address:** 201 S FRONT ST, HALLS, TN 38040-1547
- **Mailing address phone:** (731) 836-5617
- **Mailing address fax:** (731) 836-5284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 01/31/2024