Premise Health of Georgia Medical, P.c.

NPI #1124576558 in Macon, Georgia

Provider Information

NPI Number
1124576558
Entity Type
Organization
Organization Name
Premise Health of Georgia Medical, P.c.
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Sep 14, 2016
Last Updated
Aug 24, 2022

Practice Location

Address
360 HOSPITAL DR
Address 2
BUILDING D, SUITE 130
City
Macon
State
Georgia
ZIP Code
31217-3874
Phone
(912) 687-3100

Authorized Official

Name
DR. JON LEIZMAN, MD
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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