PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C

SPARTANBURG, SC
NPI1275263501
Doing Business AsADIDAS SPG HEALTH CENTER DC1
Entity TypeOrganization
Authorized ContactJON LEIZMAN
Director
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2022-06-10
Last Update Date2022-08-23
Business Address
PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
495 CEDAR CREST RD
SPARTANBURG, SC 29301-5101
Phone number: 615-468-3188
Mailing Address
PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: