PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C

CHARLOTTE, NC
NPI1992055941
Doing Business AsVANGUARD CREWCARE CENTER
Doing Business AsVANGUARD CHARLOTTE
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2012-09-18
Last Update Date2025-06-17
Business Address
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
1030 ADMIRAL NELSON COURT
CHARLOTTE, NC 28217
Phone number: 704-306-9355
Mailing Address
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
5500 MARYLAND WAY SUITE 120
BRENTWOOD, TN 37027-4993
Phone number: