Organization · Type 2 NPI

Premise Health of Georgia Medical, P.c.

Occupational Medicine Clinic/Center · Athens, GA

NPI number 1902402530 Active

Practice location

1730 Olympic Dr
Athens, GA 30601-1606

Call (706) 552-2776 Map

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	None listed

Occupational Medicine Clinic/Center: Definition to come...

NPI record

NPI: 1902402530
Entity type: Organization (Type 2)
Issued: Dec 9, 2020
Last updated: Aug 24, 2022
Status: Active

Other names

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Boehringer Ingelheim Athens Ga Occupational Health Services · doing business as
Boehringer Ingelheim Athens Ga Occupational Health Services · doing business as

Authorized official

Dr. Jon Leizman, MD
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902402530

Premise Health of Georgia Medical, P.c.'s National Provider Identifier is 1902402530, issued on Dec 9, 2020. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Athens, GA. The record was last updated on Aug 24, 2022.