| Premise Health Of Georgia Medical, P.c. | |
|
21971 Us Highway 319 N Coolidge GA 31738-3743 | |
| (229) 346-3545 | |
| (229) 346-6319 |
| Full Name | Premise Health Of Georgia Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 21971 Us Highway 319 N, Coolidge, 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. 21971 Us Highway 319 N Coolidge GA 31738-3743 Ph: (229) 346-3545 |
| NPI Number | 1588143663 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588143663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
John D. Archbold Memorial Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1034 South Pine Street, Coolidge, GA 31738 Phone: 229-346-3511 Fax: 229-346-3512 |