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Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
16526 NC HIGHWAY 87 W, TAR HEEL, NC 28392-8608
(910) 872-5710
(910) 872-5711
Mailing address
16526 NC HIGHWAY 87 W, TAR HEEL, NC 28392-8608
(910) 872-5710
(910) 872-5711
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
08321
NC
Other
Enumeration date
01/26/2007
Last updated
08/24/2022
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