| The Wellness Center Operated By Premise Health | |
|
9500 Godwin Dr Bldg 400 Manassas VA 20110-4166 | |
| (703) 367-3950 | |
| (703) 367-2181 |
| Full Name | The Wellness Center Operated By Premise Health |
|---|---|
| Speciality | Clinic/center |
| Location | 9500 Godwin Dr Bldg 400, Manassas, Virginia |
| 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 |
|---|---|
| The Wellness Center Operated By Premise Health 5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: (844) 407-7557 | The Wellness Center Operated By Premise Health 9500 Godwin Dr Bldg 400 Manassas VA 20110-4166 Ph: (703) 367-3950 |
| NPI Number | 1417476466 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417476466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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