PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C is a primary care clinic center in Greenville, SC. PREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C NPI is 1124315817. The provider is registered as an organization entity type.
The provider Is Doing Business As Michelin Family Health Center- Donaldson Camp.
The provider's business location address is:
525 MICHELIN RD
GREENVILLE, SC
ZIP 29605-131
Phone: (864) 458-1376
Fax: (864) 458-1382
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 CLIA number assigned to this NPI record is 42D2096963 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/1/2011 and was last updated on 8/23/2022.