Organization
PREMIER MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LIVERETT (CHIEF FINANCIAL ADMINISTRATOR)
(931) 245-7020
Entity
Organization
Contact information
Practice address
4863 SCOTTSVILLE RD STE B, BOWLING GREEN, KY 42104-7949
(931) 245-7000
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-7000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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