Organization · Type 2 NPI

Premise Health of Tennessee Medical PC

Multi-Specialty Clinic/Center · Collierville, TN

NPI number 1639742083 Active

Practice location

777 W Poplar Ave Ste 104
Collierville, TN 38017-6500

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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About NPI 1639742083

Premise Health of Tennessee Medical PC's National Provider Identifier is 1639742083, issued on Jul 22, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Collierville, TN. The record was last updated on Feb 13, 2026.