Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Womens OBGYN, LLC

Organization Obstetrics & Gynecology Physician · NPI 1083819429

Premier Womens OBGYN, LLC is an Obstetrics & Gynecology Physician in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

237 Uppr Riverdale RD SW
Riverdale, GA 30274-2537
Phone: (770) 909-5003
Fax: (770) 909-5004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 054127 (GA)

Record details

NPI number1083819429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracey Blander — Practice Management Consultant · (770) 716-6203
NPI enumeratedJune 17, 2007
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020
Mailing address237 Upper Riverdale Rd Sw, Riverdale, GA 30274-2537

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