Organization
PREMISE HEALTH OF VIRGINIA MEDICAL, P.C
Active
Parent organization
CHS HEALTH SERVICES, LLC
Other names
Altria Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHS HEALTH SERVICES, LLC
Authorized official
JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
4100 BERMUDA HUNDRED RD, CHESTER, VA 23836-3245
(804) 751-1922
Mailing address
5500 MARYLAND WAY, STE 400, BRENTWOOD, TN 37027-4948
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
08/15/2022
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