Organization
PREMIER ORTHOPAEDICS & SPORTS MEDICINE PLC
Active
Other names
Hughston Clinic Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GRACE FROMKIN (DIRECTOR OF CREDENTIALING)
(706) 494-3071
Entity
Organization
Contact information
Practice address
2400 PATTERSON ST STE 300, NASHVILLE, TN 37203-1558
(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
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3707844
—
TN
05
—
65944522
—
KY
05
—
7100023380
—
KY
Enumeration date
02/14/2006
Last updated
08/16/2023
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