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Organization
PREMIER SOUTH MEDICAL GROUP, P.C.
Active
Organization
PREMIER SOUTH MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EWAUL BARRINGTON PERSAUD JR. M.D. (PRESIDENT)
(404) 344-6000
Entity
Organization
Contact information
Practice address
3885 PRINCETON LAKES WAY SW, SUITE 412, ATLANTA, GA 30331-5589
(404) 344-6000
(404) 344-6575
Mailing address
8750 NW 36TH ST, SUITE 300, DORAL, FL 33178-2425
(786) 641-5348
(305) 615-1121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040754
GA
Other
Enumeration date
01/26/2007
Last updated
12/19/2016
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