PREMISE HEALTH OF GEORGIA MEDICAL, P.C. is a primary care clinic center in Claxton, GA. PREMISE HEALTH OF GEORGIA MEDICAL, P.C. NPI is 1770062853. The provider is registered as an organization entity type. The provider Is Doing Business As Claxton Poultry Wellness Center.
The provider's business location address is:
8816 US HIGHWAY 301 CLAXTON, GA ZIP 30417-428 Phone: (912) 739-3019 Fax: (912) 739-1753
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 11D2049704 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/9/2018 and was last updated on 8/24/2022.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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