PREMIER HEALTHCARE PROVIDERS, LLC

ELLENWOOD, GA
NPI1326672734
Entity TypeOrganization
Authorized ContactGWENDOLYN ELAINE MONTGOMERY
Np
404-314-7295
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
Enumeration Date2020-02-24
Last Update Date2020-02-24
Business Address
PREMIER HEALTHCARE PROVIDERS, LLC
3962 BUSBY MILL CT
ELLENWOOD, GA 30294-2052
Phone number: 404-314-7295
Mailing Address
PREMIER HEALTHCARE PROVIDERS, LLC
3962 BUSBY MILL CT
ELLENWOOD, GA 30294-2052
Phone number: 404-314-7295
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