| Premise Health Of South Carolina Medical, P.c | |
|
2480 Two Notch Rd Lexington SC 29072-7963 | |
| (803) 951-5871 | |
| (803) 951-5872 |
| Full Name | Premise Health Of South Carolina Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2480 Two Notch Rd, Lexington, South Carolina |
| Authorized Official Name and Position | Jon 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 South Carolina Medical, P.c 5500 Maryland Way Brentwood TN 37027-4948 Ph: (888) 830-4255 | Premise Health Of South Carolina Medical, P.c 2480 Two Notch Rd Lexington SC 29072-7963 Ph: (803) 951-5871 |
| NPI Number | 1700202819 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700202819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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