Organization
PREMISE HEALTH OF ALABAMA MEDICAL PC
Active
Other names
Montgomery County Occ
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
310B S HULL ST, MONTGOMERY, AL 36104-4271
(334) 625-4516
(334) 262-5451
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
09/24/2025
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