Organization · Type 2 NPI
Premise Health of Georgia Medical, P.c.
Multi-Specialty Clinic/Center · Marietta, GA
NPI number
1013790989
Active
Practice location
86 South Cobb Drive Mail Drop 0454
Marietta, GA 30063-0001
Fax (770) 494-7490
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1013790989
Premise Health of Georgia Medical, P.c.'s National Provider Identifier is 1013790989, issued on Aug 15, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Marietta, GA. The record was last updated on Aug 15, 2023.