Organization
THE PREMIER HEALTHCARE NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WOODS (CEO)
(615) 390-9757
Entity
Organization
Contact information
Practice address
1620 GATEWAY BLVD STE 102, MURFREESBORO, TN 37129-2275
(615) 740-5347
Mailing address
1620 GATEWAY BLVD STE 102, MURFREESBORO, TN 37129-2275
(615) 740-5347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1737
MEDICARE ACO-CMS
GA
Enumeration date
11/16/2014
Last updated
10/05/2022
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