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Organization

PREMIER FAMILY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NIPUN PATEL (PRESIDENT)
(770) 493-6767
Entity
Organization

Contact information

Practice address
3646 CHAMBLEE TUCKER RD STE B, CHAMBLEE, GA 30341-4406
(770) 493-6767
(770) 493-6797
Mailing address
3646 CHAMBLEE TUCKER RD STE B, CHAMBLEE, GA 30341-4406
(770) 493-6767
(770) 493-6797

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46800
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000821917F
GA
Enumeration date
01/24/2007
Last updated
04/25/2026
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