# PREMIER HEALTHCARE OF GEORGIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891599379
- **Authorized official:** AUGUSTINA GIBSON (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (404) 449-6044

## Contact information

- **Practice address:** 115 HERITAGE WAY, FAYETTEVILLE, GA 30214-1248
- **Practice address phone:** (404) 449-6044
- **Mailing address:** 225 MARKET PLACE CONNECTOR, PEACHTREE CITY, GA 30269-3542
- **Mailing address phone:** (404) 449-6044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2025
- **Last updated:** 04/03/2025