PREMISE HEALTH OF GEORGIA MEDICAL, P.C. is a multi-specialty clinic center in Monroe, GA. PREMISE HEALTH OF GEORGIA MEDICAL, P.C. NPI is 1306511381. The provider is registered as an organization entity type.
The provider Is Doing Business As Walton Emc - Monroe.
The provider's business location address is:
501 MOUNT VERNON RD
MONROE, GA
ZIP 30655-028
Phone: (770) 267-2511
Fax: (978) 528-1330
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 11D2082378 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/12/2021 and was last updated on 8/24/2022.