Premise Health of Tennessee Medical, P.c
NPI #1669010112 in Scottsville, Kentucky
Provider Information
- NPI Number
- 1669010112
- Entity Type
- Organization
- Organization Name
- Premise Health of Tennessee Medical, P.c
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Dec 16, 2019
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 1070 SMITH GROVE RD
- City
- Scottsville
- State
- Kentucky
- ZIP Code
- 42164-9444
- Phone
- (270) 239-6024
Authorized Official
- Name
- DR. JONATHAN LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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