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NPI Code Detail

MEDICARE: PREMIER MEDICAL SERVICES

MEDICARE: PREMIER MEDICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2335E00000XProsthetic/Orthotic SupplierGA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2356770OTHERGAWELLCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
46690445OTHERGACIGNA
55931689OTHERGAAETNA
682480OTHERGANORTHWOODS
752614526OTHERGABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1043287626
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER MEDICAL SERVICES
Provider Business Mailing Address
First Line : 327 DAHLONEGA ST STE A603
Second Line :
City : CUMMING
State : GA
Zip : 30040-2488
Country : US
Telephone Number : 770-781-4138
Fax Number : 770-781-2588
Provider Business Practice Location Address
First Line : 327 DAHLONEGA ST STE A603
Second Line :
City : CUMMING
State : GA
Zip : 30040-2488
Country : US
Telephone Number : 770-781-4138
Fax Number : 770-781-2588
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. J. DOUGLAS CRAFT
Credential :
Telephone Number : 404-767-6400
Provider Enumeration Date : 03/02/2006
Last Update Date : 04/10/2019

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Directions to “PREMIER MEDICAL SERVICES ” Practice Location

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