NPI 1124554068
Premier Orthopaedics & Sports Medicine, Plc
Practice location
- Address
- 111 Highway 70 E STE 103, Dickson, TN 37055-2080
- Phone
- (615) 455-1966
- Fax
- (615) 740-0259
- Mailing address
- PO Box 370, Fortson, GA 31808-0370
Authorised official
- Name
- Amy Benchwick
- Title
- Director of Credentialing
- Phone
- (706) 324-6661
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1124554068
- Entity type
- Organization
- NPI issued
- 11 May 2017
- Record last updated
- 19 Sep 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.