PREMISE HEALTH OF NORTH CAROLINA MEDICAL P.C NPI 1518578905

NPI Information

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 1518578905. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Truist Charlotte Uptown.

The provider's business location address is:

214 N TRYON ST
CHARLOTTE, NC
ZIP 28202-078
Phone: (336) 550-0935
Fax: (336) 291-4697

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

The CLIA number assigned to this NPI record is 34D2178736 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 8/24/2022.

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:

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