| Premise Health Of Tennessee Medical, P.c | |
|
712 Interchange Dr Crossville TN 38571-2413 | |
| (931) 484-1921 | |
| (931) 456-5129 |
| Full Name | Premise Health Of Tennessee Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 712 Interchange Dr, Crossville, Tennessee |
| 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 Tennessee Medical, P.c 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Tennessee Medical, P.c 712 Interchange Dr Crossville TN 38571-2413 Ph: (931) 484-1921 |
| NPI Number | 1376116715 |
|---|---|
| Provider Enumeration Date | 07/22/2021 |
| Last Update Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376116715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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