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1043287626 NPI number — PREMIER MEDICAL SERVICES

NPI Number: 1043287626
Health Care Provider/Practitioner: PREMIER MEDICAL SERVICES

Information about “1043287626” NPI (PREMIER MEDICAL SERVICES) exists in 1043287626 in HTML format HTML  |  1043287626 in plain Text format TXT  |  1043287626 in PDF (Portable Document Format) PDF  |  1043287626 in an XML format XML  formats.

NPI Number : 1043287626 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043287626",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PREMIER MEDICAL SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "327 DAHLONEGA ST STE A603",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CUMMING",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30040-2488",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-781-4138",
    "MailingAddressFaxNumber": "770-781-2588",
    "FirstLinePracticeLocationAddress": "327 DAHLONEGA ST STE A603",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CUMMING",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30040-2488",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-781-4138",
    "PracticeLocationAddressFaxNumber": "770-781-2588",
    "EnumerationDate": "03/02/2006",
    "LastUpdateDate": "04/10/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CRAFT",
    "AuthorizedOfficialFirstName": "J.",
    "AuthorizedOfficialMiddleName": "DOUGLAS",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "404-767-6400",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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