PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C is a multi-specialty clinic center in Charlotte, NC. PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C NPI is 1053838912. The provider is registered as an organization entity type.
The provider Is Doing Business As Premise Health Clinic.
The provider's business location address is:
5501 JOSH BIRMINGHAM PKWY # B11B12
CHARLOTTE, NC
ZIP 28208-750
Phone: (704) 343-5006
Fax: (704) 359-0900
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 34D2137137 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/23/2017 and was last updated on 8/23/2023.