Organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PCL
Active
Parent organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC
Authorized official
AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING)
(706) 494-3071
Entity
Organization
Contact information
Practice address
5651 FRIST BLVD, SUITE 515, HERMITAGE, TN 37076-2054
(615) 889-3501
(615) 889-3394
Mailing address
5651 FRIST BLVD, SUITE 515, HERMITAGE, TN 37076-2054
(615) 889-3501
(615) 889-3394
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
TN
Other
Enumeration date
03/09/2007
Last updated
10/24/2018
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