| Premier Family Wellness Center | |
|
7444 Hannover Pkwy S Ste 225 Stockbridge GA 30281-7847 | |
| (404) 981-3376 | |
| Not Available |
| Full Name | Premier Family Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 7444 Hannover Pkwy S Ste 225, Stockbridge, Georgia |
| Authorized Official Name and Position | Angela Evans (OWNER) |
| Authorized Official Contact | 4049813376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Wellness Center 7444 Hannover Pkwy S Ste 225 Stockbridge GA 30281-7847 Ph: (404) 981-3376 | Premier Family Wellness Center 7444 Hannover Pkwy S Ste 225 Stockbridge GA 30281-7847 Ph: (404) 981-3376 |
| NPI Number | 1043826852 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/17/2020 |
| Medicare PECOS PAC ID | 6901226448 |
|---|---|
| Medicare Enrollment ID | O20201021002336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043826852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela N Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295967404 PECOS PAC ID: 9335314384 Enrollment ID: I20111202000627 |
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