Premier Internal Medicine

NPI #1659494847 in Hiram, Georgia

Provider Information

NPI Number: 1659494847
Entity Type: Organization
Organization Name: Premier Internal Medicine
Primary Specialty: Internal Medicine
Enumeration Date: Apr 10, 2007
Last Updated: Sep 29, 2010

Practice Location

Address: 5604 WENDY BAGWELL PKWY
Address 2: STE 711
City: Hiram
State: Georgia
ZIP Code: 30141-7813
Phone: (678) 384-0800

Authorized Official

Name: DR. RICHARD J BRECKWOLDT, M.D.
Title: MEDICAL DIRECTOR
Phone: (678) 384-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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