Organization
PREMISE HEALTH OF GEORGIA MEDICAL PC
Active
Other names
Dot Vidalia Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WILLIAM SCHWARTZ (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
1122 NORTH ST W, VIDALIA, GA 30474-3214
(912) 537-8488
(912) 537-7303
Mailing address
5500 MARYLAND WAY STE 400, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
02/04/2026
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