Organization · Type 2 NPI
Premise Health of Georgia Medical, P.c.
Multi-Specialty Clinic/Center · Douglasville, GA
NPI number
1013682996
Active
Practice location
6697 Church St
Douglasville, GA 30134-4530
Fax (336) 804-5903
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Other multi-specialty clinic/center providers in Douglasville
About NPI 1013682996
Premise Health of Georgia Medical, P.c.'s National Provider Identifier is 1013682996, issued on Aug 12, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Douglasville, GA. The record was last updated on Jan 28, 2026.