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Organization
PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Active
Organization
PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Active
Other names
Associate Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
415 BROCKMAN MCCLIMON RD, GREER, SC 29651-6608
(864) 989-1432
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
08/23/2022
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