# PREMIER ORTHOPAEDICS & SPORTS MEDICINE PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hughston Clinic Orthopaedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417550682
- **Authorized official:** AMANDA FROMKIN (CREDENTIALING MANAGER)
- **Authorized official phone:** (706) 494-3071

## Contact information

- **Practice address:** 2400 PATTERSON ST STE 300, NASHVILLE, TN 37203-1558
- **Practice address phone:** (615) 342-6300
- **Mailing address:** PO BOX 370, FORTSON, GA 31808-0370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2020
- **Last updated:** 11/19/2020