| Premise Health Of Georgia Medical, P.c. | |
|
445 Northport Pkwy Port Wentworth GA 31407-9267 | |
| (912) 645-9889 | |
| (912) 228-3058 |
| Full Name | Premise Health Of Georgia Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 445 Northport Pkwy, Port Wentworth, 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 Brentwood TN 37027-7048 Ph: () - | Premise Health Of Georgia Medical, P.c. 445 Northport Pkwy Port Wentworth GA 31407-9267 Ph: (912) 645-9889 |
| NPI Number | 1497429518 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497429518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Effingham Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7306 Ga Highway 21, Ste 105, Port Wentworth, GA 31407 Phone: 912-966-2575 Fax: 912-966-0906 |