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1295965986
PREMIUM CARE MED GROUP INC
COVINGTON, GA
NPI
1295965986
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Entity Type
Organization
Authorized Contact
TED M PENNEL
CEO
404-422-8719
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 029068)
Enumeration Date
2009-07-16
Last Update Date
2009-07-16
Business Address
PREMIUM CARE MED GROUP INC
3828 SALEM RD SUITE 200
COVINGTON, GA 30016-4528
Phone number: 404-422-8719
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Mailing Address
PREMIUM CARE MED GROUP INC
3828 SALEM RD SUITE 200
COVINGTON, GA 30016-4528
Phone number:
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