| Premier Medical Centre, Llc | |
|
341 Wallace Rd Suite B Nashville TN 37211-8000 | |
| (615) 690-4293 | |
| Not Available |
| Full Name | Premier Medical Centre, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 341 Wallace Rd, Nashville, Tennessee |
| Authorized Official Name and Position | Pearline M Butcher (OWNER) |
| Authorized Official Contact | 6156904293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Centre, Llc 341 Wallace Rd Suite B Nashville TN 37211-8000 Ph: (615) 690-4293 | Premier Medical Centre, Llc 341 Wallace Rd Suite B Nashville TN 37211-8000 Ph: (615) 690-4293 |
| NPI Number | 1356533954 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Medicare PECOS PAC ID | 0042308736 |
|---|---|
| Medicare Enrollment ID | O20071113000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356533954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO0000000697 (Tennessee) | Primary |
| Provider Name | Pearline M Butcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538260385 PECOS PAC ID: 2567550346 Enrollment ID: I20071112000486 |
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