| Premise Health Of North Carolina Medical, P.c | |
|
7855 Doral Dr Administrative Blvd 2nd Floor Tobaccoville NC 27050-9002 | |
| (336) 741-1319 | |
| Not Available |
| Full Name | Premise Health Of North Carolina Medical, P.c |
|---|---|
| Speciality | General Practice |
| Location | 7855 Doral Dr, Tobaccoville, North Carolina |
| Authorized Official Name and Position | Jonathan 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 Ste 200 Brentwood TN 37027-4948 Ph: () - | Premise Health Of North Carolina Medical, P.c 7855 Doral Dr Administrative Blvd 2nd Floor Tobaccoville NC 27050-9002 Ph: (336) 741-1319 |
| NPI Number | 1336542133 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336542133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |