Organization
PREMIERE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHARLES SHAYA M.D. (PRESIDENT)
(248) 625-9755
Entity
Organization
Contact information
Practice address
7210 N MAIN ST, SUITE 205, CLARKSTON, MI 48346-1575
(248) 625-9755
(248) 620-9334
Mailing address
7210 N MAIN ST, SUITE 205, CLARKSTON, MI 48346-1575
(248) 625-9755
(248) 620-9334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
04/16/2012
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