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PREMIER FAMILY WELLNESS CENTER NPI 1043826852


NPI Information

NPI: 1043826852
Provider Name: PREMIER FAMILY WELLNESS CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2198977

Address:
7444 HANNOVER PKWY S STE 225
STOCKBRIDGE, GA
ZIP 30281
Phone: (404) 981-3376
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PREMIER FAMILY WELLNESS CENTER is a family medicine in Stockbridge, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PREMIER FAMILY WELLNESS CENTER NPI is 1043826852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7444 HANNOVER PKWY S STE 225
STOCKBRIDGE, GA
ZIP 30281-847
Phone: (404) 981-3376

The provider's authorized official is Angela Evans .
The authorized official title is Owner and has the following contact phone number (404) 981-3376.

The CLIA number assigned to this NPI record is 11D2198977 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2020 and was last updated on 9/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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