Provider Demographics
NPI:1235255274
Name:PREFERRED PHYSICIANS GROUP LLC
Entity Type:Organization
Organization Name:PREFERRED PHYSICIANS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:CRINER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:770-813-9250
Mailing Address - Street 1:5400 LAUREL SPRINGS PKWY
Mailing Address - Street 2:BLDG 1400 SUITE 1402
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024
Mailing Address - Country:US
Mailing Address - Phone:770-813-9250
Mailing Address - Fax:770-813-9251
Practice Address - Street 1:5400 LAUREL SPRINGS PKWY
Practice Address - Street 2:BLDG 1400 SUITE 1402
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024
Practice Address - Country:US
Practice Address - Phone:770-813-9250
Practice Address - Fax:770-813-9251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty