Organization
PREMIER IMMEDIATE CARE OF GEORGIA, PC
Active
Other names
Premier Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP NORTON HENDERSON MD, MPH, MBA (PRESIDENT)
(678) 376-1300
Entity
Organization
Contact information
Practice address
289 GRAYSON HWY, LAWRENCEVILLE, GA 30046-5726
(678) 376-1300
(678) 407-1469
Mailing address
PO BOX 8581, BELFAST, ME 04915-8581
(678) 376-1300
(678) 407-1469
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
047601
GA
261QU0200X
Urgent Care Clinic/Center
047601
GA
261QX0100X
Occupational Medicine Clinic/Center
047601
GA
Other
Enumeration date
03/08/2007
Last updated
09/24/2010
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