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Organization
PREMIER MEDICAL INC
Active
Organization
PREMIER MEDICAL INC
Active
Other names
Convenient Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH ANN RAY FNP (OFFICE MANAGER)
(931) 526-1050
Entity
Organization
Contact information
Practice address
350 S LOWE AVE, SUITE A, COOKEVILLE, TN 38501-4727
(931) 526-1050
(931) 526-8163
Mailing address
350 S LOWE AVE, SUITE A, COOKEVILLE, TN 38501-4727
(931) 526-1050
(931) 526-8163
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
TN
363LF0000X
Family Nurse Practitioner
Primary
6216479758
TN
363LP0200X
Pediatric Nurse Practitioner
—
TN
363LP2300X
Primary Care Nurse Practitioner
—
TN
363LX0106X
Occupational Health Nurse Practitioner
—
TN
Other
Enumeration date
07/13/2007
Last updated
07/21/2022
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