| NPI | 1497102990 |
|---|---|
| Doing Business As | PREMISE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVEN A HINITT President 844-407-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-06-30 |