Premium Life Medical Center LLC
Premium Life Medical Center LLC is a Primary Care Clinic/Center in Lilburn, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
639 Beaver Ruin Rd NW Ste ALilburn, GA 30047-3473
Phone: (678) 395-3443
Fax: (770) 837-2426
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1275233611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Ramirez — Doctor Manager · (678) 395-3443 |
| NPI enumerated | March 6, 2023 |
| Last updated in NPPES | March 6, 2023 |
| Certification date | March 5, 2023 |
| Mailing address | 639 Beaver Ruin Rd Nw Ste A, Lilburn, GA 30047-3473 |
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