| Premier Family Medicine Center, Llc | |
|
484 Irvin Ct Suite 110 Decatur GA 30030-5406 | |
| (404) 296-5114 | |
| (404) 296-5115 |
| Full Name | Premier Family Medicine Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 484 Irvin Ct, Decatur, Georgia |
| Authorized Official Name and Position | Kim P Eubanks (PROVIDER) |
| Authorized Official Contact | 4042965114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medicine Center, Llc 484 Irvin Ct Ste 110 Decatur GA 30030-5406 Ph: (404) 296-5114 | Premier Family Medicine Center, Llc 484 Irvin Ct Suite 110 Decatur GA 30030-5406 Ph: (404) 296-5114 |
| NPI Number | 1306000906 |
|---|---|
| Provider Enumeration Date | 07/12/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306000906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 055484 (Georgia) | Primary |
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