| Premise Health Of Tennessee Medical, P.c | |
|
200 Dover St Ste 122 Shelbyville TN 37160-2863 | |
| (931) 735-6424 | |
| Not Available |
| Full Name | Premise Health Of Tennessee Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 Dover St Ste 122, Shelbyville, 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 200 Dover St Ste 122 Shelbyville TN 37160-2863 Ph: (931) 735-6424 |
| NPI Number | 1144993197 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144993197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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