Premier Women'S Healthcare Llc

LBN: Premier Women'S Healthcare Llc
Premier Women'S Healthcare Llc is an health care organization with primary practice located at 5900 Hillandale Dr Ste 325 , Lithonia GA 30058-3892. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Premier Women'S Healthcare Llc can be contacted via phone (678) 418-6990, or through Smith, Dominique J. via phone (678) 418-6990.

Contact Information

Primary practice address
5900 Hillandale Dr Ste 325 Lithonia GA 30058-3892
Phone: (678) 418-6990
Fax: (678) 418-6986
Website:
Map and Directions
Authorized official contact:
Name: Smith, Dominique J. Doctor of Medicine (MD)
Phone: (678) 418-6990

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1649460940
LBN Legal business name Premier Women'S Healthcare Llc
DBA Doing business as
Authorized official Smith, Dominique J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2007
Last updated Jul 8th, 2021 - about 3 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 1649460940 NPPES
Georgia MEDICAID 000740737I

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