Healthcare Provider Details

I. General information

NPI: 1023226446
Provider Name (Legal Business Name): PREMIER HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2165 HWY 78 SUITE 100
DORA AL
35062
US

IV. Provider business mailing address

2165 HWY 78 SUITE 100
DORA AL
35062
US

V. Phone/Fax

Practice location:
  • Phone: 205-648-4567
  • Fax: 205-648-4551
Mailing address:
  • Phone: 205-648-4567
  • Fax: 205-648-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SCOTT A DIXON
Title or Position: OWNER
Credential: M.D.
Phone: 205-648-4567