Premier MD Group Inc.

NPI #1598938300 in Lilburn, Georgia

Provider Information

NPI Number: 1598938300
Entity Type: Organization
Organization Name: Premier MD Group Inc.
Primary Specialty: Family Medicine
Enumeration Date: Apr 12, 2008
Last Updated: Apr 12, 2008

Practice Location

Address: 620 HILLCREST RD NW
Address 2: SUITE 100
City: Lilburn
State: Georgia
ZIP Code: 30047-1709
Phone: (770) 925-7001

Authorized Official

Name: DIOSEN CASTILLO
Title: PRESIDENT
Phone: (770) 925-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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