NPI 1013790989

Premise Health of Georgia Medical, P.C.

Organisation Multi-Specialty Clinic/Center Marietta, GA

Practice location

Address: 86 South Cobb Drive Mail Drop 0454, Marietta, GA 30063-0001
Phone: (770) 494-4131
Fax: (770) 494-7490
Mailing address: 5500 Maryland Way STE 120, Brentwood, TN 37027-4993

Authorised official

Name: Will Wright
Title: Legal Counsel
Phone: (615) 577-5893

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1013790989
Entity type: Organization
NPI issued: 15 Aug 2023
Record last updated: 15 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.