Organization
PREMIER FAMILY MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM P EUBANKS M.D. (PROVIDER)
(404) 296-5114
Entity
Organization
Contact information
Practice address
484 IRVIN CT, SUITE 110, DECATUR, GA 30030-5406
(404) 296-5114
(404) 296-5115
Mailing address
484 IRVIN CT STE 110, DECATUR, GA 30030-5406
(404) 296-5114
(404) 296-5115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055484
GA
Other
Enumeration date
07/12/2008
Last updated
07/15/2008
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