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Organization

PREMISE HEALTH OF ALABAMA MEDICAL PC

Active
Other names
Goodyear Family Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization

Contact information

Practice address
851 GOODYEAR AVE, GADSDEN, AL 35903-1133
(256) 549-2660
(256) 494-5063
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/23/2006
Last updated
09/24/2025
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