| Premier Healthcare Alliance | |
|
5154 Cook St Ne Covington GA 30014-2630 | |
| (770) 788-1778 | |
| (770) 788-1285 |
| Full Name | Premier Healthcare Alliance |
|---|---|
| Speciality | Internal Medicine |
| Location | 5154 Cook St Ne, Covington, Georgia |
| Authorized Official Name and Position | Timothy D. Vaughn (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 5154 Cook St Ne Covington GA 30014-2630 Ph: (770) 788-1778 |
| NPI Number | 1598197758 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598197758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 070244 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 070244 (Georgia) | Primary |
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