Healthcare Provider Details

I. General information

NPI: 1487604799
Provider Name (Legal Business Name): FAMILY HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 06/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5421 MAIN ST
SPRING HILL TN
37174-2499
US

IV. Provider business mailing address

854 W JAMES CAMPBELL BLVD SUITE 303
COLUMBIA TN
38401-4659
US

V. Phone/Fax

Practice location:
  • Phone: 931-486-2500
  • Fax: 931-486-3748
Mailing address:
  • Phone: 931-540-4255
  • Fax: 931-490-4654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. HAROLD E PRESTON
Title or Position: CEO
Credential:
Phone: 931-540-4255