Premier South Medical Group, PC
Premier South Medical Group, PC provides Family Medicine Physician services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3885 Princeton Lakes Way SW Ste 412Atlanta, GA 30331-5589
Phone: (404) 344-6000
Fax: (404) 344-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 040754 (GA) |
|---|
Record details
| NPI number | 1528114295 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ewaul Persaud — President · (404) 344-6000 |
| NPI enumerated | January 26, 2007 |
| Last updated in NPPES | December 19, 2016 |
| Mailing address | 8750 Nw 36th St, Suite 300, Doral, FL 33178-2425 |
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