Organization · Type 2 NPI
Premise Health of Georgia Medical PC
Multi-Specialty Clinic/Center · Port Wentworth, GA
NPI number
1497429518
Active
Practice location
445 Northport Pkwy
Port Wentworth, GA 31407-9267
Fax (912) 228-3058
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...
About NPI 1497429518
Premise Health of Georgia Medical PC's National Provider Identifier is 1497429518, issued on Aug 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Port Wentworth, GA. The record was last updated on Feb 11, 2026.