# FAMILY HEALTH GROUP INC

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

## Provider details

- **NPI number:** 1336199041
- **Authorized official:** MR. HAROLD E PRESTON (CEO)
- **Authorized official phone:** (931) 540-4255

## Contact information

- **Practice address:** 107 J V MANGUAT DR, WAYNESBORO, TN 38485-2440
- **Practice address phone:** (931) 722-2800
- **Practice address fax:** (931) 722-9627
- **Mailing address:** 854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
- **Mailing address phone:** (931) 540-4255
- **Mailing address fax:** (931) 490-4654

## 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 | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 06/10/2009