Organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE PLC
Active
Organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE PLC
Active
Other names
Hughston Clinic Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FROMKIN (CREDENTIALING MANAGER)
(706) 494-3071
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST STE 300, NASHVILLE, TN 37203-1558
(615) 342-6300
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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