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Premise Health Of Georgia Medical, P.c.
Primary Care Clinic/Center in Vidalia, Georgia
NPI 1447739545

Premise Health Of Georgia Medical, P.c. is a Primary Care Clinic/Center based in Brentwood, GA and is specialized in Primary Care. Premise Health Of Georgia Medical, P.c. practices in Vidalia, GA. The NPI Number for Premise Health Of Georgia Medical, P.c. is 1447739545 and holds a License No. (Georgia).

The current practice location address for Premise Health Of Georgia Medical, P.c. is 1122 North St W, Vidalia, GA and can be reached out via phone at 912-537-8488 and via fax at 912-537-7303.

Location: 1122 North St W, Vidalia, GA, 37027-7048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447739545
Provider Name
Premise Health Of Georgia Medical, P.c.
Credential
Provider Entity Type
Organization
Address
1122 North St W, Vidalia, GA, 37027-7048
Phone Number
912-537-8488
Fax Number
912-537-7303
Provider Enumeration Date
08/09/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1122 North St W
City
Vidalia
State
Georgia
Zip
30474-3214
Phone Number
912-537-8488
Fax Number
912-537-7303
person
Provider Business Mailing Address Details
Address
1122 North St W
City
Vidalia
State
Georgia
Zip
30474-3214
Phone Number
912-537-8488
Fax Number
912-537-7303
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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