PREMISE HEALTH OF GEORGIA MEDICAL, P.C. is a multi-specialty clinic center in Tyrone, GA. PREMISE HEALTH OF GEORGIA MEDICAL, P.C. NPI is 1932840683. The provider is registered as an organization entity type.
The provider Is Doing Business As Premise Health Wellness Center.
The provider's business location address is:
105 SAINT STEPHENS CT STE A
TYRONE, GA
ZIP 30290-716
Phone: (470) 491-3370
Fax: (770) 415-1519
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 11D2264708 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/6/2022 and was last updated on 8/24/2022.