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PREMISE HEALTH OF NORTH CAROLINA MEDICAL P.C NPI 1053625574


NPI Information

NPI: 1053625574
Provider Name: PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C

Doing Business As: CHOOSE HEALTH WELLNESS CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
7201 HEWITT ASSOCIATES DR
STE 500
CHARLOTTE, NC
ZIP 28262
Phone: (704) 746-9866
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PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C is a general practice in Charlotte, NC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C NPI is 1053625574. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Choose Health Wellness Center.

The provider's business location address is:

7201 HEWITT ASSOCIATES DR
STE 500
CHARLOTTE, NC
ZIP 28262-001
Phone: (704) 746-9866
Fax: (704) 595-9923

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 10/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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