# PREMISE HEALTH OF TENNESSEE MEDICAL, P.C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHS HEALTH SERVICES, LLC
- **Other names:** Altria Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679826630
- **Legal business name:** CHS HEALTH SERVICES, LLC
- **Authorized official:** JONATHAN LEIZMAN (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 1600 N MAIN ST, HOPKINSVILLE, KY 42240-2724
- **Practice address phone:** (270) 707-1624
- **Mailing address:** 5500 MARYLAND WAY, STE 400, BRENTWOOD, TN 37027-4948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 09/15/2022