| NPI | 1144610213 |
|---|---|
| Doing Business As | DBA PREMIER PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LEE TOLAR MEALS Owner/Member Tax Matters 270-554-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-09-17 |