| Premier Family Clinic | |
|
3646 Chamblee Tucker Rd Ste B Chamblee GA 30341-4406 | |
| (770) 493-6767 | |
| (770) 493-6797 |
| Full Name | Premier Family Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 3646 Chamblee Tucker Rd Ste B, Chamblee, Georgia |
| Authorized Official Name and Position | Nipun Patel (PRESIDENT) |
| Authorized Official Contact | 7704936767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Clinic 3646 Chamblee Tucker Rd Ste D Chamblee GA 30341-4406 Ph: (770) 493-6767 | Premier Family Clinic 3646 Chamblee Tucker Rd Ste B Chamblee GA 30341-4406 Ph: (770) 493-6767 |
| NPI Number | 1528113107 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 06/24/2019 |
| Medicare PECOS PAC ID | 9931393352 |
|---|---|
| Medicare Enrollment ID | O20101029001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528113107 | NPI | - | NPPES |
| 000821917F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46800 (Georgia) | Primary |
| Provider Name | Nipun Baldevbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417990987 PECOS PAC ID: 6002000429 Enrollment ID: I20101029001062 |
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