Organization · Type 2 NPI

Premise Health of Tennessee Medical PC

Multi-Specialty Clinic/Center · Dyersburg, TN

NPI number 1992435267 Active

Practice location

2045 Saint John Ave
Dyersburg, TN 38024-2209

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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About NPI 1992435267

Premise Health of Tennessee Medical PC's National Provider Identifier is 1992435267, issued on Jun 10, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Dyersburg, TN. The record was last updated on Feb 4, 2026.