Premise Health of South Carolina Medical, P.c
NPI #1124315817 in Greenville, South Carolina
Provider Information
- NPI Number
- 1124315817
- Entity Type
- Organization
- Organization Name
- Premise Health of South Carolina Medical, P.c
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 1, 2011
- Last Updated
- Aug 23, 2022
Practice Location
- Address
- 525 MICHELIN RD
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29605-6131
- Phone
- (864) 458-1376
Authorized Official
- Name
- JON LEIZMAN, M.D.
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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