# PREMISE HEALTH OF GEORGIA MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harrison Poultry Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891207536
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 107 E STAR ST, BETHLEHEM, GA 30620-2119
- **Practice address phone:** (678) 975-3115
- **Practice address fax:** (678) 975-3116
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
- **Mailing address phone:** (844) 407-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2017
- **Last updated:** 02/05/2026