| Premise Health Of Georgia Medical, P.c. | |
|
107 E Star St Bethlehem GA 30620-2119 | |
| (678) 975-3115 | |
| (678) 975-3116 |
| Full Name | Premise Health Of Georgia Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 107 E Star St, Bethlehem, 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: (844) 407-7557 | Premise Health Of Georgia Medical, P.c. 107 E Star St Bethlehem GA 30620-2119 Ph: (678) 975-3115 |
| NPI Number | 1891207536 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891207536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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