Premise Health of South Carolina Medical, P.c
NPI #1851064844 in Georgetown, South Carolina
Provider Information
- NPI Number
- 1851064844
- Entity Type
- Organization
- Organization Name
- Premise Health of South Carolina Medical, P.c
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Aug 23, 2022
Practice Location
- Address
- 1745 N FRASER ST
- City
- Georgetown
- State
- South Carolina
- ZIP Code
- 29440-6407
- Phone
- (864) 402-8220
Authorized Official
- Name
- JON LEIZMAN
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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