Provider Demographics
NPI:1487478251
Name:PREMIER INTERNAL MEDICINE SERVICES LLC
Entity type:Organization
Organization Name:PREMIER INTERNAL MEDICINE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SOWMYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRELA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-755-7519
Mailing Address - Street 1:230 DODD LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3973
Mailing Address - Country:US
Mailing Address - Phone:646-708-5208
Mailing Address - Fax:
Practice Address - Street 1:930 NEW HOPE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-6407
Practice Address - Country:US
Practice Address - Phone:770-284-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty