Premise Health of Tennessee Medical, P.c

NPI #1679826630 in Hopkinsville, Kentucky

Provider Information

NPI Number: 1679826630
Entity Type: Organization
Organization Name: Premise Health of Tennessee Medical, P.c
Subpart: Yes (part of a larger organization)
Parent Organization: CHS HEALTH SERVICES, LLC
Primary Specialty: General Practice
Enumeration Date: Oct 16, 2012
Last Updated: Sep 15, 2022

Practice Location

Address: 1600 N MAIN ST
City: Hopkinsville
State: Kentucky
ZIP Code: 42240-2724
Phone: (270) 707-1624

Authorized Official

Name: JONATHAN LEIZMAN
Title: PRESIDENT
Phone: (216) 479-9063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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