| Premise Health Of Georgia Medical, P.c. | |
|
5163 Thompson Bridge Rd Murrayville GA 30564-1930 | |
| (470) 354-3460 | |
| (470) 354-3461 |
| Full Name | Premise Health Of Georgia Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5163 Thompson Bridge Rd, Murrayville, 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 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Georgia Medical, P.c. 5163 Thompson Bridge Rd Murrayville GA 30564-1930 Ph: (470) 354-3460 |
| NPI Number | 1477192219 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477192219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |