NPI 1154643484

Premise Health of North Carolina Medical, P.C

Organisation General Practice Physician Durham, NC

Practice location

Address: 4820 Emperor Blvd Quintiles Plaza, Durham, NC 27703-8426
Phone: (919) 998-2151
Fax: (919) 998-2374
Mailing address: 5500 Maryland Way Suite 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: 1154643484
Entity type: Organization
NPI issued: 1 Mar 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.