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1053838912
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
CHARLOTTE, NC
NPI
1053838912
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Entity Type
Organization
Authorized Contact
JON LEIZMAN
President
216-479-9063
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2017-08-23
Last Update Date
2023-08-23
Business Address
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
5501 JOSH BIRMINGHAM PKWY # B11B12
CHARLOTTE, NC 28208-5750
Phone number: 704-343-5006
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Mailing Address
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number:
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