# PREMISE HEALTH OF GEORGIA MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwire Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437213709
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 1128 S PARK ST, CARROLLTON, GA 30119-4450
- **Practice address phone:** (770) 836-0870
- **Practice address fax:** (770) 836-1837
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
- **Mailing address phone:** (844) 407-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 02/04/2026