Premier South Medical Group, P.C.

LBN: Premier South Medical Group, P.C.
Premier South Medical Group, P.C. is an health care organization with primary practice located at 3885 Princeton Lakes Way Sw Suite 412, Atlanta GA 30331-5589. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Premier South Medical Group, P.C. can be contacted via phone (404) 344-6000, or through Persaud, Ewaul Barrington via phone (404) 344-6000.

Contact Information

Primary practice address
3885 Princeton Lakes Way Sw Suite 412 Atlanta GA 30331-5589
Phone: (404) 344-6000
Fax: (404) 344-6575
Website:
Map and Directions
Authorized official contact:
Name: Persaud, Ewaul Barrington Doctor of Medicine (MD)
Phone: (404) 344-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 040754 Georgia

Profile Details

NPI number 1528114295
LBN Legal business name Premier South Medical Group, P.C.
DBA Doing business as
Authorized official Persaud, Ewaul Barrington Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Dec 19th, 2016 - about 9 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 1528114295 NPPES
Georgia MEDICAID 00318272A

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