Premiercare Tennessee INC

Practice location

Address

1 Medical Center Blvd 5 West, Cookeville, TN 38501-4294

Phone

(931) 783-2570

Fax

(931) 783-2579

Mailing address

603 Main St, Windermere, FL 34786-3548

Authorised official

Name

David Corddry

Title

Chief Financial Officer

Phone

(407) 876-2200

Registered specialties (2)

Registry record

NPI

1194088112

Entity type

Organization

NPI issued

25 Jun 2012

Record last updated

10 Jan 2013

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.