| Premise Health Of Tennessee Medical, P.c | |
|
4000 Buechel Bank Rd Appliance Park Ap4-100 Medical Louisville KY 40225-0001 | |
| (502) 452-0777 | |
| (502) 452-0708 |
| Full Name | Premise Health Of Tennessee Medical, P.c |
|---|---|
| Speciality | Clinic/center |
| Location | 4000 Buechel Bank Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Jonathan B 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 Ste 400 Brentwood TN 37027-7048 Ph: () - | Premise Health Of Tennessee Medical, P.c 4000 Buechel Bank Rd Appliance Park Ap4-100 Medical Louisville KY 40225-0001 Ph: (502) 452-0777 |
| NPI Number | 1538595475 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538595475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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