Organization
PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Active
Other names
US10 Michelin Occupational Heath Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
10 BIB WAY, ANDERSON, SC 29626-6047
(864) 964-6100
(864) 964-6101
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(864) 964-6100
(864) 964-6101
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2013
Last updated
08/15/2022
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