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NPI Code Detail

MEDICARE: PREMISE HEALTH OF TENNESSEE MEDICAL PC

MEDICARE: PREMISE HEALTH OF TENNESSEE MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1447654678
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMISE HEALTH OF TENNESSEE MEDICAL PC
Provider Business Mailing Address
First Line : 5500 MARYLAND WAY STE 200
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-4973
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 610 OPPERMAN DR
Second Line : THOMSON REUTERS CAMPUS
City : EAGAN
State : MN
Zip : 55123-1340
Country : US
Telephone Number : 615-577-4927
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD WILLIAM SCHWARTZ
Credential :
Telephone Number : 844-407-7557
Provider Enumeration Date : 10/17/2014
Last Update Date : 03/13/2026

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Directions to “PREMISE HEALTH OF TENNESSEE MEDICAL PC ” Practice Location

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