Premier South Medical Group Pc

LBN: Premier South Medical Group Pc
Premier South Medical Group Pc is an health care organization with primary practice located at 770 Greison Trl Suite F, Newnan GA 30263-6408. 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 Pc can be contacted via phone (770) 251-4120, or through Ramkhelawan, Reanna via phone (786) 281-2398.

Contact Information

Primary practice address
770 Greison Trl Suite F Newnan GA 30263-6408
Phone: (770) 251-4120
Fax: (770) 251-4575
Website:
Map and Directions
Authorized official contact:
Name: Ramkhelawan, Reanna
Phone: (786) 281-2398

Health care specialties

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

Profile Details

NPI number 1669916573
LBN Legal business name Premier South Medical Group Pc
DBA Doing business as
Authorized official Ramkhelawan, Reanna
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2016
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 1669916573 NPPES
Georgia MEDICAID 003182726A

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