Organization · Type 2 NPI
Premise Health of Tennessee Medical PC
Multi-Specialty Clinic/Center · Kingsport, TN
NPI number
1215500483
Active
Practice location
415 Broad St Ste 644
Kingsport, TN 37660-4207
Fax (423) 343-9851
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Other multi-specialty clinic/center providers in Kingsport
About NPI 1215500483
Premise Health of Tennessee Medical PC's National Provider Identifier is 1215500483, issued on Jul 23, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Kingsport, TN. The record was last updated on Feb 3, 2026.