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NPI Code Detail

MEDICARE: PRIMERA HEALTH AND WELLNESS

MEDICARE: PRIMERA HEALTH AND WELLNESS
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
1208D00000XGeneral Practice Physician4838GA

General Provider Information

NPI Number : 1427455575
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMERA HEALTH AND WELLNESS
Provider Business Mailing Address
First Line : 3060 PEACHTREE RD NW
Second Line : SUITE 965
City : ATLANTA
State : GA
Zip : 30305-2234
Country : US
Telephone Number : 678-904-7564
Fax Number :
Provider Business Practice Location Address
First Line : 3060 PEACHTREE RD NW
Second Line : SUITE 965
City : ATLANTA
State : GA
Zip : 30305-2234
Country : US
Telephone Number : 678-904-7564
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. SHAILESH SUSHIL KOTHARI
Credential : DC
Telephone Number : 678-904-7564
Provider Enumeration Date : 12/04/2014
Last Update Date : 12/04/2014

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Directions to “PRIMERA HEALTH AND WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.