Southwire Family Medical Center

LBN: Premise Health Of Georgia Medical, P.C.
Southwire Family Medical Center is an health care organization with primary practice located at 1128 S Park St , Carrollton GA 30119-4450. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Premise Health Of Georgia Medical, P.C. can be contacted via phone (770) 836-0870, or through Leizman, Jon via phone (216) 479-9063.

Contact Information

Primary practice address
1128 S Park St Carrollton GA 30119-4450
Phone: (770) 836-0870
Fax: (770) 836-1837
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon Doctor of Medicine (MD)
Phone: (216) 479-9063

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1437213709
LBN Legal business name Premise Health Of Georgia Medical, P.C.
DBA Doing business as Southwire Family Medical Center
Authorized official Leizman, Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 24th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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