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 1992055941. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vanguard Charlotte.
The provider's business location address is:
2605 WATER RIDGE PKWY
SUITE 100
CHARLOTTE, NC
ZIP 28217-565
Phone: (704) 306-9355
Fax: (704) 306-4614
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 34D2045739 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/18/2012 and was last updated on 8/24/2022.