Premise Health of Georgia Medical, P.c.

NPI #1306511381 in Monroe, Georgia

Provider Information

NPI Number
1306511381
Entity Type
Organization
Organization Name
Premise Health of Georgia Medical, P.c.
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Aug 12, 2021
Last Updated
Aug 24, 2022

Practice Location

Address
501 MOUNT VERNON RD
City
Monroe
State
Georgia
ZIP Code
30655-5028
Phone
(770) 267-2511

Authorized Official

Name
JON LEIZMAN
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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