NPI | 1598168650 |
---|---|
Doing Business As | PREMIER PRIMARY CARE MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID N KIM CEO 770-292-0043 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA GA050306) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 000489) |
Enumeration Date | 2014-10-03 |
Last Update Date | 2024-05-01 |