Premise Health of Georgia Medical, P.c.

NPI #1013790989 in Marietta, Georgia

Provider Information

NPI Number
1013790989
Entity Type
Organization
Organization Name
Premise Health of Georgia Medical, P.c.
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Aug 15, 2023
Last Updated
Aug 15, 2023

Practice Location

Address
86 SOUTH COBB DRIVE MAIL DROP 0454
State
Georgia
ZIP Code
30063-0001
Phone
(770) 494-4131

Authorized Official

Name
WILL WRIGHT
Title
LEGAL COUNSEL
Phone
(615) 577-5893

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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