MEDICARE: PRIMO HEALTH PARTNERS, 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1528867223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMO HEALTH PARTNERS, INC.

Provider Business Mailing Address
First Line	:	3635 RIVERS CALL BLVD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-8502
Country	:	US
Telephone Number	:	404-217-7831
Fax Number	:

Provider Business Practice Location Address
First Line	:	3635 RIVERS CALL BLVD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-8502
Country	:	US
Telephone Number	:	404-217-7831
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM COOPER
Credential	:	MD
Telephone Number	:	678-467-2597

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	03/13/2025

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Directions to “PRIMO HEALTH PARTNERS, INC. ” Practice Location

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