| Premier Healthcare Alliance | |
|
1039 E Freeway Dr Se Conyers GA 30094-5965 | |
| (770) 922-0076 | |
| (770) 922-0734 |
| Full Name | Premier Healthcare Alliance |
|---|---|
| Speciality | Family Medicine |
| Location | 1039 E Freeway Dr Se, Conyers, Georgia |
| Authorized Official Name and Position | Daniel Sykes (VICE PRESIDENT) |
| Authorized Official Contact | 6153728505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Healthcare Alliance Po Box 116202 Atlanta GA 30368-6202 Ph: (770) 922-0734 | Premier Healthcare Alliance 1039 E Freeway Dr Se Conyers GA 30094-5965 Ph: (770) 922-0076 |
| NPI Number | 1346587581 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346587581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 032107 (Georgia) | Primary |
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