Organization · Type 2 NPI
Premise Health of Tennessee Medical PC
Multi-Specialty Clinic/Center · Maryville, TN
NPI number
1073901344
Active
Practice location
1810 Robert C Jackson Dr
Maryville, TN 37801-3788
Fax (865) 724-2344
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
4 other providers at this address
Other multi-specialty clinic/center providers in Maryville
About NPI 1073901344
Premise Health of Tennessee Medical PC's National Provider Identifier is 1073901344, issued on Jan 8, 2015. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Maryville, TN. The record was last updated on Feb 2, 2026.