# PREMIER HOSPITALIST ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1912242108
- **Authorized official:** DR. CLYDE OBRIEN SOUTHWELL M,D, (OWNER)
- **Authorized official phone:** (615) 822-2214

## Contact information

- **Practice address:** 353 NEW SHACKLE ISLAND RD, SUITE 140 C, HENDERSONVILLE, TN 37075-2379
- **Practice address phone:** (615) 822-2214
- **Practice address fax:** (615) 822-6519
- **Mailing address:** 353 NEW SHACKLE ISLAND RD, SUITE 140 C, HENDERSONVILLE, TN 37075-2379
- **Mailing address phone:** (615) 822-2214
- **Mailing address fax:** (615) 822-6519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 43085 | TN | Yes |

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 11/29/2012