# PREMISE HEALTH OF ALABAMA MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAE Systems Huntsville AL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548853807
- **Authorized official:** DR. JONATHAN LEIZMAN MD (PRESIDENT)
- **Authorized official phone:** (615) 468-6270

## Contact information

- **Practice address:** 400 JAN DAVIS DR NW, HUNTSVILLE, AL 35806-4545
- **Practice address phone:** (256) 210-2512
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2021
- **Last updated:** 09/24/2025