Premise Health of Georgia Medical, P.c.
NPI #1306196027 in Gainesville, Georgia
Provider Information
- NPI Number
- 1306196027
- Entity Type
- Organization
- Organization Name
- Premise Health of Georgia Medical, P.c.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 11, 2012
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 584 LANIER PARK DR
- City
- Gainesville
- State
- Georgia
- ZIP Code
- 30501-2000
- Phone
- (770) 532-5685
Authorized Official
- Name
- DR. JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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