| Premier Health Llc | |
|
921 Prince St Georgetown SC 29440-3549 | |
| (256) 499-2319 | |
| Not Available |
| Full Name | Premier Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 921 Prince St, Georgetown, South Carolina |
| Authorized Official Name and Position | Robert Downing (PRESIDENT/CEO) |
| Authorized Official Contact | 2564992319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Llc Po Box 2178 Mount Pleasant SC 29465-2178 Ph: (256) 499-2319 | Premier Health Llc 921 Prince St Georgetown SC 29440-3549 Ph: (256) 499-2319 |
| NPI Number | 1922775865 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 08/27/2021 |
| Medicare PECOS PAC ID | 6305235623 |
|---|---|
| Medicare Enrollment ID | O20211108001711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922775865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gayle Lynn Brook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902987407 PECOS PAC ID: 3577552835 Enrollment ID: I20080312000018 |
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