Organization
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Active
Other names
City of Charleston Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN B LEIZMAN MD (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
601 MORRIS ST STE 203, CHARLESTON, WV 25301-1416
(681) 205-8538
(681) 205-8546
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
08/15/2022
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