Organization
PREMIER INTERNAL MEDICINE AND PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH LOU ANTHONY PERKINS JR. M.D. (OWNER)
(731) 506-6995
Entity
Organization
Contact information
Practice address
714 FEDERAL DR, SELMER, TN 38375-1876
(731) 540-9083
(731) 540-9103
Mailing address
714 FEDERAL DR, SELMER, TN 38375-1876
(731) 540-9083
(731) 540-9103
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
46862
TN
Other
Enumeration date
04/25/2017
Last updated
11/09/2017
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