PREMISE HEALTH OF SOUTH CAROLINA MEDICAL P.C NPI 1033655824

NPI Information

NPI: 1033655824
Provider Name: PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C

Doing Business As: MICHELIN FAMILY HEALTH CENTER SPARTANBURG

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1785 NEW CUT RD
SPARTANBURG, SC
ZIP 29303
Phone: (864) 599-3050
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PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C is a multi-specialty clinic center in Spartanburg, SC. PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C NPI is 1033655824. The provider is registered as an organization entity type.
The provider Is Doing Business As Michelin Family Health Center Spartanburg.

The provider's business location address is:

1785 NEW CUT RD
SPARTANBURG, SC
ZIP 29303-740
Phone: (864) 599-3050
Fax: (864) 599-3051

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 1/17/2017 and was last updated on 8/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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