Organization · Type 2 NPI
Premise Health of Georgia Medical PC
General Practice Physician · Atlanta, GA
NPI number
1578812970
Active
Practice location
303 Peachtree St NE Ste LL-140
Atlanta, GA 30308-3201
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1578812970
Premise Health of Georgia Medical PC's National Provider Identifier is 1578812970, issued on Aug 31, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, GA. The record was last updated on Feb 12, 2026.