Organization
PREMIER NEUROLOGICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIMA KHURRAM M.D. (PHYSICAIN)
(404) 824-7121
Entity
Organization
Contact information
Practice address
145 RIVERSTONE TER, CANTON, GA 30114-5317
(404) 824-7121
Mailing address
145 RIVERSTONE TER, CANTON, GA 30114-5317
(404) 824-7121
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
69470
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133133E
—
GA
01
—
202I130631
MEDICARE ID
GA
Enumeration date
12/14/2015
Last updated
12/14/2015
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