| Premise Health Of North Carolina Medical, P.c | |
|
136 Chicken Plant Rd Parcel 0908 01 001 Lumber Bridge NC 28357-0000 | |
| (910) 778-1818 | |
| Not Available |
| Full Name | Premise Health Of North Carolina Medical, P.c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 136 Chicken Plant Rd, Lumber Bridge, North Carolina |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of North Carolina Medical, P.c 5500 Maryland Way Brentwood TN 37027-4948 Ph: (910) 778-1818 | Premise Health Of North Carolina Medical, P.c 136 Chicken Plant Rd Parcel 0908 01 001 Lumber Bridge NC 28357-0000 Ph: (910) 778-1818 |
| NPI Number | 1942622766 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942622766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |