Provider Demographics
NPI:1427791631
Name:PRIMO HEALTH PARTNERS
Entity type:Organization
Organization Name:PRIMO HEALTH PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA, FACC
Authorized Official - Phone:404-293-0039
Mailing Address - Street 1:3635 RIVERS CALL BLVD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-8502
Mailing Address - Country:US
Mailing Address - Phone:404-293-0039
Mailing Address - Fax:
Practice Address - Street 1:3635 RIVERS CALL BLVD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-8502
Practice Address - Country:US
Practice Address - Phone:404-293-0039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty