MEDICARE: THE PALMER GROUP INC

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
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1467619940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PALMER GROUP INC

Provider Business Mailing Address
First Line	:	950 EAGLES LANDING PKWY
Second Line	:	SUITE 323
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-7343
Country	:	US
Telephone Number	:	404-539-2146
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 EAGLES LANDING PKWY
Second Line	:	SUITE 323
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-7343
Country	:	US
Telephone Number	:	404-539-2146
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSE GARCIA
Credential	:
Telephone Number	:	404-539-2146

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	05/21/2008

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