| Premise Health Of Georgia Medical, P.c. | |
|
8816 Us Highway 301 Claxton GA 30417-5428 | |
| (912) 739-3019 | |
| (912) 739-1753 |
| Full Name | Premise Health Of Georgia Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8816 Us Highway 301, Claxton, Georgia |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Georgia Medical, P.c. 5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: () - | Premise Health Of Georgia Medical, P.c. 8816 Us Highway 301 Claxton GA 30417-5428 Ph: (912) 739-3019 |
| NPI Number | 1770062853 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770062853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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