Organization
FAMILY HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD E PRESTON (CEO)
(931) 540-4255
Entity
Organization
Contact information
Practice address
854 W JAMES CAMPBELL BLVD, SUITE 301, COLUMBIA, TN 38401-4659
(931) 388-8779
(931) 540-0518
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 540-4255
(931) 490-4654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710088
—
TN
Enumeration date
05/15/2006
Last updated
06/10/2009
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