PREMISE HEALTH OF GEORGIA MEDICAL P.C. NPI 1386319358

NPI Information

PREMISE HEALTH OF GEORGIA MEDICAL, P.C. is a multi-specialty clinic center in Marietta, GA. PREMISE HEALTH OF GEORGIA MEDICAL, P.C. NPI is 1386319358. The provider is registered as an organization entity type.
The provider Is Doing Business As City Of Marietta.

The provider's business location address is:

268 LAWRENCE ST NE STE 100
MARIETTA, GA
ZIP 30060-617
Phone: (770) 421-7738
Fax: (229) 259-7319

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 enumeration date for this NPI number is 8/12/2021 and was last updated on 8/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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