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Organization

PREMISE HEALTH OF TENNESSEE 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
JONATHAN LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization

Contact information

Practice address
1600 N MAIN ST, HOPKINSVILLE, KY 42240-2724
(270) 707-1624
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
10/16/2012
Last updated
09/15/2022
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