# ROCKDALE PHYSICIAN PRACTICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Healthcare Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326489089
- **Authorized official:** TIMOTHY D VAUGHN (VICE PRESIDENT)
- **Authorized official phone:** (615) 372-8505

## Contact information

- **Practice address:** 2215 EXCHANGE PL SE, CONYERS, GA 30013-6723
- **Practice address phone:** (770) 992-3522
- **Practice address fax:** (770) 922-3662
- **Mailing address:** PO BOX 116202, ATLANTA, GA 30368-6202
- **Mailing address phone:** (770) 922-0734
- **Mailing address fax:** (770) 922-0734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 54898 | GA | Yes |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/30/2013