Healthcare Provider Details

I. General information

NPI: 1114291440
Provider Name (Legal Business Name): PREMIER ASC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 04/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

394 HARDING PL SUITE 100
NASHVILLE TN
37211-3980
US

IV. Provider business mailing address

394 HARDING PL SUITE 100
NASHVILLE TN
37211-3980
US

V. Phone/Fax

Practice location:
  • Phone: 615-332-3600
  • Fax: 615-332-3630
Mailing address:
  • Phone: 615-332-3600
  • Fax: 615-332-3630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM GREGORY SWINNEY
Title or Position: VP
Credential:
Phone: 972-789-2877