Premise Health of Tennessee Medical, P.c
NPI #1720651987 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1720651987
- Entity Type
- Organization
- Organization Name
- Premise Health of Tennessee Medical, P.c
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 23, 2021
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 501 N CHEROKEE ST STE 3
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659-5599
- Phone
- (423) 753-0744
Authorized Official
- Name
- JONATHAN LEIZMAN
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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