| Premise Health Of Georgia Medical Pc | |
|
1025 Lenox Park Blvd Ne Brookhaven GA 30319-5309 | |
| (404) 689-6550 | |
| Not Available |
| Full Name | Premise Health Of Georgia Medical Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1025 Lenox Park Blvd Ne, Brookhaven, Georgia |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Georgia Medical Pc 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Georgia Medical Pc 1025 Lenox Park Blvd Ne Brookhaven GA 30319-5309 Ph: (404) 689-6550 |
| NPI Number | 1609664416 |
|---|---|
| Provider Enumeration Date | 04/30/2025 |
| Last Update Date | 04/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609664416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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