PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION

CHARLESTON, WV
NPI1124792296
Entity TypeOrganization
Authorized ContactJONATHAN B LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2021-08-03
Last Update Date2022-08-15
Business Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
601 MORRIS ST STE 203
CHARLESTON, WV 25301-1416
Phone number: 304-720-0221
Mailing Address
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
5500 MARYLAND WAY
BRENTWOOD, TN 37027-7048
Phone number:
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