Premier Family Clinic

LBN: Premier Family Clinic
Premier Family Clinic is an health care organization with primary practice located at 3646 Chamblee Tucker Rd Ste B , Chamblee GA 30341-4406. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Premier Family Clinic can be contacted via phone (770) 493-6767, or through Patel, Nipun via phone (770) 493-6767.

Contact Information

Primary practice address
3646 Chamblee Tucker Rd Ste B Chamblee GA 30341-4406
Fax: (770) 493-6797
Website:
Authorized official contact:
Name: Patel, Nipun

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46800 Georgia

Profile Details

NPI number 1528113107
LBN Legal business name Premier Family Clinic
DBA Doing business as
Authorized official Patel, Nipun
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jun 24th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528113107 NPPES
Georgia MEDICAID 000821917F

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