PREMISE HEALTH OF TENNESSEE MEDICAL, P.C is a multi-specialty clinic center in Collierville, TN. PREMISE HEALTH OF TENNESSEE MEDICAL, P.C NPI is 1639742083. The provider is registered as an organization entity type.
The provider Is Doing Business As Mssc - Collierville.
The provider's business location address is:
777 W POPLAR AVE STE 104
COLLIERVILLE, TN
ZIP 38017-500
Phone: (901) 221-7175
The provider's authorized official is Jonathan 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 44D2111695 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/22/2021 and was last updated on 9/15/2022.