Organization · Type 2 NPI

Premise Health of Virginia Medical, P.c

General Practice Physician · Chester, VA

NPI number 1407108509 Active

Practice location

4100 Bermuda Hundred Rd
Chester, VA 23836-3245

Call (804) 751-1922 Map

Mailing address

5500 Maryland Way, Ste 400
Brentwood, TN 37027-4948

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NPI record

NPI: 1407108509
Entity type: Organization (Type 2)
Issued: Oct 12, 2012
Last updated: Aug 15, 2022
Status: Active
Subpart: Yes of CHS Health Services, LLC

Other names

<unavail>
Altria Health Center · doing business as
Altria Health Center · doing business as

Authorized official

Jon Leizman
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407108509

Premise Health of Virginia Medical, P.c's National Provider Identifier is 1407108509, issued on Oct 12, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chester, VA. The record was last updated on Aug 15, 2022.