Premier Personal Health Services, Llc

NPI 1205100591 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1205100591
Enumeration Date 03/04/2012
Last Updated 08/12/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LISA YVONNE LISA
Position CEO
Phone (404) 819-9665
Fax (678) 624-6030
Practice Location
8025 WILKERSON LN
PALMETTO GA, 30268-8626, US
Phone (404) 819-9665
Fax (678) 624-6030
Business Location
6269 GREENOCK DR
STONE MOUNTAIN GA, 30087-6081, US
Phone (404) 819-9665
Fax (866) 624-6594
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Premier Personal Health Services, Llc NPI is 1205100591, taxonomy code is 251S00000X Premier Personal Health Services, Llc physically located at 8025 Wilkerson Ln, Palmetto GA, 30268-8626. NPI Number 1033115704 has the healthcare provider type.

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1205100591 NPI number is provided on an as is basis without warranty of any kind. 1205100591 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Personal Health Services, Llc are for informational purposes only.