Premise Health of Georgia Medical PC
NPI #1609664416 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1609664416
- Entity Type
- Organization
- Organization Name
- Premise Health of Georgia Medical PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Apr 30, 2025
- Last Updated
- Apr 30, 2025
Practice Location
- Address
- 1025 LENOX PARK BLVD NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30319-5309
- Phone
- (404) 689-6550
Authorized Official
- Name
- JONATHAN LEIZMAN
- Title
- PRESIDENT
- Phone
- (615) 468-6270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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