Organization
PREMIER PRIMARY CARE CENTER, INC
Active
Organization
PREMIER PRIMARY CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTAIN C. OHAGWU M.D. (CEO)
(404) 766-1970
Entity
Organization
Contact information
Practice address
5820 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-3838
(770) 997-1565
(770) 997-1568
Mailing address
5820 OLD NATIONAL HWY, SUITE 250, COLLEGE PARK, GA 30349-3838
(770) 997-1565
(770) 997-1568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039888
GA
208000000X
Pediatrics Physician
039888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10033956
AMERIGROUP
GA
05
—
300033306A
—
GA
01
—
52624568002
BLUE CROSS BLUE SHIELD
GA
Enumeration date
03/08/2007
Last updated
07/08/2016
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