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PREMIER HEALTHCARE CENTER CORP NPI 1093331423


NPI Information

NPI: 1093331423
Provider Name: PREMIER HEALTHCARE CENTER CORP
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 11D2182258

Address:
4153 FLAT SHOALS PKWY STE 102
DECATUR, GA
ZIP 30034
Phone: (404) 241-7062
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PREMIER HEALTHCARE CENTER CORP is a pain medicine anesthesiology in Decatur, GA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PREMIER HEALTHCARE CENTER CORP NPI is 1093331423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4153 FLAT SHOALS PKWY STE 102
DECATUR, GA
ZIP 30034-106
Phone: (404) 241-7062

The provider's authorized official is Harvey Leslie .
The authorized official title is Ceo and has the following contact phone number (404) 241-7062.

The CLIA number assigned to this NPI record is 11D2182258 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2020 and was last updated on 6/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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