Organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC
Active
Parent organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC
Other names
Hughston Clinic Orthopaedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER ORTHOPAEDICS & SPORTS MEDICINE, PLC
Authorized official
AMY BENCHWICK (DIRECTOR OF CREDENTIALING)
(706) 324-6661
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST, SUITE 300, NASHVILLE, TN 37203-1562
(615) 342-6300
(615) 342-6350
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 324-6661
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0922510001
MEDICARE DME
TN
05
—
3707844
—
TN
Enumeration date
11/01/2006
Last updated
09/20/2018
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