Premise Health of Georgia Medical, P.c.
NPI #1669147542 in Snellville, Georgia
Provider Information
- NPI Number
- 1669147542
- 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
- 3645 LENORA CHURCH RD
- City
- Snellville
- State
- Georgia
- ZIP Code
- 30039-5201
- Phone
- (205) 564-0510
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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