Organization · Type 2 NPI
Premise Health of Tennessee Medical PC
General Practice Physician · Ooltewah, TN
NPI number
1265603815
Active
Practice location
9526 Apison Pike
Ooltewah, TN 37363-9578
Fax (423) 910-9991
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1265603815
Premise Health of Tennessee Medical PC's National Provider Identifier is 1265603815, issued on Mar 21, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ooltewah, TN. The record was last updated on Feb 4, 2026.