MEDICARE: CORE MEN'S HEALTH

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1477411619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE MEN'S HEALTH

Provider Business Mailing Address
First Line	:	115 HIGHWAY 641 S
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1639
Country	:	US
Telephone Number	:	888-212-1519
Fax Number	:	888-212-1519

Provider Business Practice Location Address
First Line	:	115 HIGHWAY 641 S
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1639
Country	:	US
Telephone Number	:	888-212-1519
Fax Number	:	888-212-1519

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM LOGAN DEDMON
Credential	:	DO
Telephone Number	:	888-212-1519

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “CORE MEN'S HEALTH ” Practice Location

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