Premier Womens Obgyn, Llc

LBN: Premier Womens Obgyn, Llc
Premier Womens Obgyn, Llc is an health care organization with primary practice located at 237 Upper Riverdale Rd Sw , Riverdale GA 30274-2537. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Premier Womens Obgyn, Llc can be contacted via phone (770) 909-5003, or through Blander, Tracey via phone (770) 716-6203.

Contact Information

Primary practice address
237 Upper Riverdale Rd Sw Riverdale GA 30274-2537
Phone: (770) 909-5003
Fax: (770) 909-5004
Website:
Map and Directions
Authorized official contact:
Name: Blander, Tracey
Phone: (770) 716-6203

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 054127 Georgia

Profile Details

NPI number 1083819429
LBN Legal business name Premier Womens Obgyn, Llc
DBA Doing business as
Authorized official Blander, Tracey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2007
Last updated Mar 4th, 2020 - about 4 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 1083819429 NPPES
Georgia MEDICAID 547811054A

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