| Premier Neurological Care | |
|
145 Riverstone Ter Canton GA 30114-5317 | |
| (404) 824-7121 | |
| Not Available |
| Full Name | Premier Neurological Care |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 145 Riverstone Ter, Canton, Georgia |
| Authorized Official Name and Position | Saima Khurram (PHYSICAIN) |
| Authorized Official Contact | 4048247121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Neurological Care 145 Riverstone Ter Canton GA 30114-5317 Ph: (404) 824-7121 | Premier Neurological Care 145 Riverstone Ter Canton GA 30114-5317 Ph: (404) 824-7121 |
| NPI Number | 1407221658 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407221658 | NPI | - | NPPES |
| 202I130631 | Other | GA | MEDICARE ID |
| 003133133E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 69470 (Georgia) | Primary |
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