PREMIER INJURY SPECIALIST NPI 1063238749

NPI Information

  • NPI: 1063238749
  • Provider Name: PREMIER INJURY SPECIALIST
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 1035 SOUTHCREST DR STE 120
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (678) 464-3078

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NPI Details

PREMIER INJURY SPECIALIST is a health service clinic center in Stockbridge, GA. PREMIER INJURY SPECIALIST NPI is 1063238749. The provider is registered as an organization entity type.

The provider's business location address is:

1035 SOUTHCREST DR STE 120
STOCKBRIDGE, GA
ZIP 30281-120
Phone: (678) 464-3078

The provider's authorized official is Johnny Brown .
The authorized official title is Manager and has the following contact phone number (678) 464-3078.

The enumeration date for this NPI number is 11/27/2024 and was last updated on 11/27/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

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: 11/21/2025

NPI Synchronization or Removal

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