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
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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