Organization
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
Active
Other names
Employees' Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9603
Entity
Organization
Contact information
Practice address
836 EAST 65TH STREET, 4 MEDICAL ARTS, SAVANNAH, GA 31405-4491
(912) 351-0057
(912) 351-0074
Mailing address
16906 COLLECTION CENTER DR, CHICAGO, IL 60693-0169
(877) 865-9013
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8892
GROUP BCBS NUMBER
GA
Enumeration date
12/20/2006
Last updated
08/24/2022
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