| NPI | 1528538758 |
|---|---|
| Former Legal Business Name | PREMIER HEALTH CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | TONYA ALICIA DOCKERY Billing Manager 240-318-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |