Organization · Type 2 NPI

Premise Health of Georgia Medical PC

Primary Care Clinic/Center · Vidalia, GA

NPI number 1447739545 Active

Practice location

1122 North St W
Vidalia, GA 30474-3214

Fax (912) 537-7303

Mailing address

5500 Maryland Way Ste 400
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1447739545

Premise Health of Georgia Medical PC's National Provider Identifier is 1447739545, issued on Aug 9, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Vidalia, GA. The record was last updated on Feb 4, 2026.