NPI 1053625574

Premise Health of North Carolina Medical, P.C

Organisation General Practice Physician Charlotte, NC

Practice location

Address: 7201 Hewitt Associates Dr STE 500, Charlotte, NC 28262-4001
Phone: (704) 746-9866
Fax: (704) 595-9923
Mailing address: 5500 Maryland Way STE 400, Brentwood, TN 37027-4948

Authorised official

Name: Jonathan Leizman
Title: President
Phone: (216) 479-9063

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in North Carolina →

Registry record

NPI: 1053625574
Entity type: Organization
NPI issued: 27 Jul 2010
Record last updated: 13 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.