PREMISE HEALTH OF GEORGIA MEDICAL, P.C. is a multi-specialty clinic center in Valdosta, GA. PREMISE HEALTH OF GEORGIA MEDICAL, P.C. NPI is 1366117343. The provider is registered as an organization entity type.
The provider Is Doing Business As City Of Valdosta.
The provider's business location address is:
407 E ALDEN AVE
VALDOSTA, GA
ZIP 31602-046
Phone: (229) 259-7620
Fax: (704) 353-7915
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 11D2025050 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/12/2021 and was last updated on 8/24/2022.