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Organization
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
Active
Organization
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
Active
Other names
CarePort at Health Central
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN MD (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
HARTSFIELD-JACKSON ATLANTA INTERNATIONAL AIRPORT (A), 6000 N TERMINAL PKWY (SOUTH TERMINAL), ATLANTA, GA 30320
(404) 773-7480
(404) 714-1275
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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