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Organization

PREMISE HEALTH OF OHIO MEDICAL, P.A

Active
Other names
Scioto Advantage Health & Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN B LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization

Contact information

Practice address
3879 RHODES AVE, NEW BOSTON, OH 45662-6002
(740) 354-0292
(740) 354-0293
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
05/19/2021
Last updated
08/16/2022
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