| Premier Internal Medicine Of Alpharetta, Pc | |
|
3665 Old Milton Pkwy Ste 30 Alpharetta GA 30005-2406 | |
| (919) 264-0720 | |
| Not Available |
| Full Name | Premier Internal Medicine Of Alpharetta, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3665 Old Milton Pkwy Ste 30, Alpharetta, Georgia |
| Authorized Official Name and Position | Kira P. Colbert (OWNER) |
| Authorized Official Contact | 6783696993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Internal Medicine Of Alpharetta, Pc 7778 Mcginnis Ferry Rd # 266 Suwanee GA 30024-1622 Ph: (678) 369-6993 | Premier Internal Medicine Of Alpharetta, Pc 3665 Old Milton Pkwy Ste 30 Alpharetta GA 30005-2406 Ph: (919) 264-0720 |
| NPI Number | 1124508973 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 11/18/2018 |
| Medicare PECOS PAC ID | 3274879572 |
|---|---|
| Medicare Enrollment ID | O20190108000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124508973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 79075 (Georgia) | Primary |
| Provider Name | Kira P Colbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982996146 PECOS PAC ID: 0648499178 Enrollment ID: I20180613001091 |
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