Organization · Type 2 NPI

Premise Health of Georgia Medical PC

Multi-Specialty Clinic/Center · Macon, GA

NPI number 1124576558 Active

Practice location

360 Hospital Dr, Building D, Suite 130
Macon, GA 31217-3874

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1124576558

Premise Health of Georgia Medical PC's National Provider Identifier is 1124576558, issued on Sep 14, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Macon, GA. The record was last updated on Mar 13, 2026.