PREMISE HEALTH OF GEORGIA MEDICAL, P.C.

CARROLLTON, GA
NPI1437213709
Doing Business AsSOUTHWIRE FAMILY MEDICAL CENTER
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-12-21
Last Update Date2022-08-24
Business Address
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
1128 S PARK ST
CARROLLTON, GA 30119-4450
Phone number: 770-836-0870
Mailing Address
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
5500 MARYLAND WAY
BRENTWOOD, TN 37027-4948
Phone number: 844-407-7557