PREMISE HEALTH OF NORTH CAROLINA MEDICAL P.C NPI 1356846406

NPI Information

PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C is a multi-specialty clinic center in Siler City, NC. PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C NPI is 1356846406. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountaire Farms Siler City Health And Wellness Center.

The provider's business location address is:

1040 E 3RD ST
SILER CITY, NC
ZIP 27344-639
Phone: (919) 799-2191
Fax: (919) 799-2427

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 34D2153427 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2018 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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