Organization
PREMISE HEALTH OF KENTUCKY MEDICAL, P.S.C.
Active
Other names
Altria Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
WILL WRIGHT (LEGAL COUNSEL)
(615) 577-5893
Entity
Organization
Contact information
Practice address
1600 N MAIN ST, HOPKINSVILLE, KY 42240-2724
(270) 707-1679
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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