Organization
PREMISE HEALTH OF GEORGIA MEDICAL, P.C.
Active
Other names
Chick-fil-A Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
5200 BUFFINGTON RD, ATLANTA, GA 30349-2945
(404) 305-4000
(404) 341-9805
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
06/25/2022
Last updated
08/24/2022
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