Organization
PREMIER INJURY SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY BROWN (MANAGER)
(678) 464-3078
Entity
Organization
Contact information
Practice address
1035 SOUTHCREST DR STE 120, STOCKBRIDGE, GA 30281-6120
(678) 464-3078
Mailing address
PO BOX 2811, PEACHTREE CITY, GA 30269-0811
(678) 464-3078
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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