Organization · Type 2 NPI
Premise Health of Georgia Medical PC
Multi-Specialty Clinic/Center · Brookhaven, GA
NPI number
1609664416
Active
Practice location
1025 Lenox Park Blvd NE
Brookhaven, GA 30319-5309
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1609664416
Premise Health of Georgia Medical PC's National Provider Identifier is 1609664416, issued on Apr 30, 2025. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Brookhaven, GA. The record was last updated on Apr 30, 2025.