Organization
PROFESSIONAL PREMIUM SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESDEL ACOSTA (OWNER)
(404) 414-2523
Entity
Organization
Contact information
Practice address
2470 WINDY HILL RD SE, NUM 366C, MARIETTA, GA 30067-8613
(404) 414-2523
(404) 393-8880
Mailing address
2470 WINDY HILL RD SE, NUM 366C, MARIETTA, GA 30067-8613
(404) 414-2523
(404) 393-8880
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
GA
Other
Enumeration date
05/22/2015
Last updated
08/05/2015
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