NPI | 1356472914 |
---|---|
Doing Business As | PREMIER IMMEDIATE CARE |
Entity Type | Organization |
Authorized Contact | PHILIP NORTON HENDERSON President 678-376-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 047601) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: GA 047601) |
261QX0100X Clinic/Center, Occupational Medicine (Licence: GA 047601) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2010-09-24 |