| NPI | 1306255922 |
|---|---|
| Doing Business As | PRIMEHEALTHMD |
| Entity Type | Organization |
| Authorized Contact | JIM WARD Owner 770-274-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 52971) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2021-03-09 |