Organization
PREMIUM CARE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCESS DENNAR MD (CEO/MANAGING PARTNER)
(504) 361-4203
Entity
Organization
Contact information
Practice address
3570 HOLIDAY DR, SUITES 3-7, NEW ORLEANS, LA 70114-8287
(504) 361-4203
(504) 361-4204
Mailing address
3570 HOLIDAY DR, SUITES 3-7, NEW ORLEANS, LA 70114-8287
(504) 361-4203
(504) 361-4204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/22/2013
Last updated
10/02/2013
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