| Premise Health Of Mississippi Medical Pc | |
|
305 Highway 346 Ecru MS 38841-9772 | |
| (662) 489-2669 | |
| (662) 489-2670 |
| Full Name | Premise Health Of Mississippi Medical Pc |
|---|---|
| Speciality | General Practice |
| Location | 305 Highway 346, Ecru, Mississippi |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Mississippi Medical Pc 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Mississippi Medical Pc 305 Highway 346 Ecru MS 38841-9772 Ph: (662) 489-2669 |
| NPI Number | 1194140368 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194140368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Pontotoc Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Main St, Ecru, MS 38841 Phone: 662-489-4345 | |
North Mississippi Medical Clinics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Main Street, Ecru, MS 38841 Phone: 662-489-4345 Fax: 662-489-8975 | |
Proactive Md Ms Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6543 Ms-15, Ecru, MS 38841 Phone: 662-489-2669 | |
Access Family Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8324 Highway 15 N, Ecru, MS 38841 Phone: 662-489-5613 Fax: 662-488-9162 |