Organization
PREMIERE MEDICAL COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BIVINS (CEO)
(770) 353-9918
Entity
Organization
Contact information
Practice address
1290 KENNESTONE CIR BLDG A101-A, MARIETTA, GA 30066-6009
(770) 353-9918
Mailing address
1290 KENNESTONE CIR BLDG A101-A, MARIETTA, GA 30066-6009
(770) 353-9918
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
03/26/2024
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