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General NPI Number Information
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NPI Number | 1487478251
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Entity Type | Organization
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Legal Business Name | PREMIER INTERNAL MEDICINE SERVICES LLC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 930 NEW HOPE RD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-6407
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Country | US
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Telephone | 770-284-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 230 DODD LN
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City | ALPHARETTA
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State | GA
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Zip | 30005-3973
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Country | US
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Telephone | 646-708-5208
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SOWMYA BARRELA
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Credential | MD
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Telephone | 517-755-7519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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