| Premise Health Of Alabama Medical Pc | |
|
200 Waits Dr Andalusia AL 36421-2431 | |
| (334) 427-6699 | |
| (334) 427-6683 |
| Full Name | Premise Health Of Alabama Medical Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 Waits Dr, Andalusia, Alabama |
| 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 Alabama Medical Pc 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Alabama Medical Pc 200 Waits Dr Andalusia AL 36421-2431 Ph: (334) 427-6699 |
| NPI Number | 1508470899 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508470899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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