Organization
PREMISE HEALTH OF OHIO MEDICAL, P.A
Active
Other names
Dollywood Family Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
1022 DOLLYWOOD LN, PIGEON FORGE, TN 37863-4113
(865) 908-5322
(865) 908-9394
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(865) 868-1333
(865) 868-1307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/16/2022
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