Organization
PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Active
Other names
Associate Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
415 BROCKMAN MCCLIMON RD, GREER, SC 29651-6608
(864) 989-1432
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
08/23/2022
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