PREMISE HEALTH OF VIRGINIA MEDICAL, P.C is a clinic center in Manassas, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMISE HEALTH OF VIRGINIA MEDICAL, P.C NPI is 1417476466. The provider is registered as an organization entity type.
The provider Is Doing Business As The Wellness Center Operated By Premise Health.
The provider's business location address is:
9500 GODWIN DR BLDG 400
MANASSAS, VA
ZIP 20110-166
Phone: (703) 367-3950
Fax: (703) 367-2181
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 49D2013749 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/11/2017 and was last updated on 8/15/2022.