Organization
PREMIER MD GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIOSEN CASTILLO (PRESIDENT)
(770) 925-7001
Entity
Organization
Contact information
Practice address
620 HILLCREST RD NW, SUITE 100, LILBURN, GA 30047-1709
(770) 925-7001
(770) 925-7099
Mailing address
620 HILLCREST RD NW, SUITE 100, LILBURN, GA 30047-1709
(770) 925-7001
(770) 925-7099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2008
Last updated
04/12/2008
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