Healthcare Provider Details

I. General information

NPI: 1215161195
Provider Name (Legal Business Name): PRECISION HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 02/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 PARK AVE STE 203
MEMPHIS TN
38119-3505
US

IV. Provider business mailing address

441 DONELSON PIKE STE 395B
NASHVILLE TN
37214-3568
US

V. Phone/Fax

Practice location:
  • Phone: 901-969-1351
  • Fax: 615-367-1445
Mailing address:
  • Phone: 615-367-1444
  • Fax: 615-367-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number00004626
License Number StateTN

VIII. Authorized Official

Name: ANGELA WATWOOD
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 615-665-7115