Organization · Type 2 NPI
Premise Health of Georgia Medical PC
Multi-Specialty Clinic/Center · Tyrone, GA
NPI number
1932840683
Active
Practice location
105 Saint Stephens Ct Ste A
Tyrone, GA 30290-1716
Fax (770) 415-1519
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 1932840683
Premise Health of Georgia Medical PC's National Provider Identifier is 1932840683, issued on Apr 6, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Tyrone, GA. The record was last updated on Feb 5, 2026.