| Premise Health Wellness Center | |
|
360 Hospital Dr Building D, Suite 130 Macon GA 31217-3874 | |
| (912) 687-3100 | |
| Not Available |
| Full Name | Premise Health Wellness Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 360 Hospital Dr, Macon, Georgia |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Wellness Center 5500 Maryland Way Brentwood TN 37027-4948 Ph: () - | Premise Health Wellness Center 360 Hospital Dr Building D, Suite 130 Macon GA 31217-3874 Ph: (912) 687-3100 |
| NPI Number | 1124576558 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124576558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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