OrganizationActive
Premise Health of South Carolina Medical, P.C
NPI 1871269274 · Multi-Specialty Clinic/Center · Myrtle Beach, SC
Provider details
- NPI number
- 1871269274
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Leizman, President(216) 479-9063
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1517 N Kings Hwy
Myrtle Beach, SC 29577-3640
Phone: (843) 918-2040
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Maryland Way
Brentwood, TN 37027-7048
Other names (DBA / former)
- Doing business as
- City of Myrtle Beach - N Kings Hwy
- Doing business as
- City of Myrtle Beach - N Kings Hwy
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.