| Premier Md Group Inc. | |
|
620 Hillcrest Rd Nw Suite 100 Lilburn GA 30047-1709 | |
| (770) 925-7001 | |
| (770) 925-7099 |
| Full Name | Premier Md Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 620 Hillcrest Rd Nw, Lilburn, Georgia |
| Authorized Official Name and Position | Diosen Castillo (PRESIDENT) |
| Authorized Official Contact | 7709257001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Md Group Inc. 620 Hillcrest Rd Nw Suite 100 Lilburn GA 30047-1709 Ph: (770) 925-7001 | Premier Md Group Inc. 620 Hillcrest Rd Nw Suite 100 Lilburn GA 30047-1709 Ph: (770) 925-7001 |
| NPI Number | 1598938300 |
|---|---|
| Provider Enumeration Date | 04/12/2008 |
| Last Update Date | 04/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598938300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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