PREMISE HEALTH OF ALABAMA MEDICAL P.C. NPI 1588338594

NPI Information

PREMISE HEALTH OF ALABAMA MEDICAL, P.C. is a multi-specialty clinic center in Montgomery, AL. PREMISE HEALTH OF ALABAMA MEDICAL, P.C. NPI is 1588338594. The provider is registered as an organization entity type.
The provider Is Doing Business As Montgomery Water Works.

The provider's business location address is:

3845 INTERSTATE CT
MONTGOMERY, AL
ZIP 36109-233
Phone: (334) 356-3918
Fax: (334) 356-3681

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 01D2009688 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/25/2022.

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:

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