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Organization
PREMISE HEALTH OF GEORGIA MEDICAL PC
Active
Organization
PREMISE HEALTH OF GEORGIA MEDICAL PC
Active
Other names
AT&T Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
1025 LENOX PARK BLVD NE, BROOKHAVEN, GA 30319-5309
(404) 689-6550
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
04/30/2025
Last updated
04/30/2025
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