Organization
PREMISE HEALTH OF TENNESSEE MEDICAL, P.C
Active
Organization
PREMISE HEALTH OF TENNESSEE MEDICAL, P.C
Active
Other names
ASC Memphis Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
5106 TRADEPORT DR, MEMPHIS, TN 38141-8235
(615) 000-0000
Mailing address
5500 MARYLAND WAY, SUITE 400, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
09/15/2022
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