Organization
PREMIER MEDICAL ASSOCIATES PC
Active
Organization
PREMIER MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUDY LUKOSE MD (OWNER)
(770) 888-6697
Entity
Organization
Contact information
Practice address
407 E MAPLE ST, SUITE 101, CUMMING, GA 30040-2656
(770) 888-6697
(770) 888-6698
Mailing address
407 E MAPLE ST, SUITE 101, CUMMING, GA 30040-2635
(770) 888-6697
(770) 888-6698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054743
GA
Other
Enumeration date
01/03/2007
Last updated
04/06/2017
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