Active NPIOrganization

Premier Immediate Care Of Georgia, PC

Clinic/Center, Primary Care in Lawrenceville, Georgia

NPI Number1356472914
Practice location
289 Grayson Hwy, Lawrenceville, GA 30046-5726
Fax
678-407-1469
Last updated
September 24, 2010

Premier Immediate Care Of Georgia, PC is a healthcare organization based in Lawrenceville, GA. Premier Immediate Care Of Georgia, PC practices in Lawrenceville, GA. The NPI Number for Premier Immediate Care Of Georgia, PC is 1356472914 and holds a License No. 047601 (GA). The current practice location address for Premier Immediate Care Of Georgia, PC is 289 Grayson Hwy, Lawrenceville, GA 30046-5726 and can be reached out via phone at 678-376-1300 and via fax at 678-407-1469.

Provider Profile Details

NPI Number
1356472914
Provider Name
Premier Immediate Care Of Georgia, PC
Provider Entity Type
Organization
Address
289 Grayson Hwy, Lawrenceville, GA 30046-5726
Phone Number
678-376-1300
Fax Number
678-407-1469
Primary Taxonomy
Clinic/Center, Primary Care · 261QP2300X
Organization Subpart
No
Authorized Official
Philip Norton Henderson, MD, MPH, MBA · President · 678-376-1300
Other Names
Premier Immediate Care (Doing Business As)
Provider Enumeration Date
March 8, 2007
Last Update Date
September 24, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
289 Grayson Hwy
Lawrenceville, GA 30046-5726
State
Georgia
Zip
30046-5726
Phone Number
678-376-1300
Fax Number
678-407-1469
Lawrenceville, GA 30046Get directions →

Provider Business Mailing Address Details

Address
Po Box 8581
Belfast, ME 04915-8581
City
Belfast
State
ME
Zip
04915-8581
Phone Number
678-376-1300
Fax Number
678-407-1469

License Information

License Number (1)
047601
License State (1)
GA
Taxonomy (1)
Clinic/Center, Urgent Care · 261QU0200X
License Number (2)
047601
License State (2)
GA
Taxonomy (2)
Clinic/Center, Occupational Medicine · 261QX0100X
License Number (3)
047601
License State (3)
GA
Taxonomy (3)
Clinic/Center, Primary Care · 261QP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Premier Immediate Care Of Georgia, PC?

The NPI number of Premier Immediate Care Of Georgia, PC is 1356472914. It was assigned on March 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Premier Immediate Care Of Georgia, PC?

Premier Immediate Care Of Georgia, PC is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in GA under license number 047601.

Where does Premier Immediate Care Of Georgia, PC practice?

The practice location is 289 Grayson Hwy, Lawrenceville, GA 30046-5726. The office can be reached at 678-376-1300 (phone) or 678-407-1469 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356472914 directly on the NPPES registry website.

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