Organization
PREMISE HEALTH OF GEORGIA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN MD (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
5200 BUFFINGTON RD, ATLANTA, GA 30349-2945
(404) 305-4000
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
11/25/2025
Last updated
11/25/2025
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