PREMISE HEALTH OF GEORGIA MEDICAL, P.C. is a primary care clinic center in Vidalia, GA. PREMISE HEALTH OF GEORGIA MEDICAL, P.C. NPI is 1447739545. The provider is registered as an organization entity type.
The provider Is Doing Business As Dot Vidalia Family Health Center.
The provider's business location address is:
1122 NORTH ST W
VIDALIA, GA
ZIP 30474-214
Phone: (912) 537-8488
Fax: (912) 537-7303
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (615) 468-6270.
The CLIA number assigned to this NPI record is 11D2057902 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/9/2018 and was last updated on 9/20/2023.