Premise Health of Georgia Medical, P.c.
NPI #1497429518 in Port Wentworth, Georgia
Provider Information
- NPI Number
- 1497429518
- Entity Type
- Organization
- Organization Name
- Premise Health of Georgia Medical, P.c.
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 3, 2021
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 445 NORTHPORT PKWY
- City
- Port Wentworth
- State
- Georgia
- ZIP Code
- 31407-9267
- Phone
- (912) 645-9889
Authorized Official
- Name
- JON LEIZMAN
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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