| Organization Name: | PREMIER ORTHOPAEDICS & SPORTS MEDICINE, LLC |
| NPI Number: | 1699929703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MASOUD HAMIDIAN (OWNER) |
| Mailing Address: | 380 Woods Cove Rd Suite A Scottsboro |
| State: | AL US |
| Postal Code: | 357682428 |
| Phone Number: | 2565742663 |
| Fax Number: | 2565742664 |
| NPI Enumeration Date: | 11/17/2008 |
| NPI Last Update Date: | 11/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | MD29131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |