Organization · Type 2 NPI
Premise Health of Georgia Medical PC
Multi-Specialty Clinic/Center · Marietta, GA
NPI number
1386319358
Active
Practice location
268 Lawrence St NE Ste 100
Marietta, GA 30060-1617
Fax (229) 259-7319
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...
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About NPI 1386319358
Premise Health of Georgia Medical PC's National Provider Identifier is 1386319358, issued on Aug 12, 2021. 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 Mar 4, 2026.