Organization
PREMIER HOSPITALIST ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE OBRIEN SOUTHWELL M,D, (OWNER)
(615) 822-2214
Entity
Organization
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 140 C, HENDERSONVILLE, TN 37075-2379
(615) 822-2214
(615) 822-6519
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE 140 C, HENDERSONVILLE, TN 37075-2379
(615) 822-2214
(615) 822-6519
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
43085
TN
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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