PREMISE HEALTH OF MISSISSIPPI MEDICAL PC

ECRU, MS
NPI1194140368
Doing Business AsASHLEY WELLNESS CENTER
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2014-02-25
Last Update Date2022-10-13
Business Address
PREMISE HEALTH OF MISSISSIPPI MEDICAL PC
305 HIGHWAY 346
ECRU, MS 38841-9772
Phone number: 662-489-2669
Mailing Address
PREMISE HEALTH OF MISSISSIPPI MEDICAL PC
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: