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Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Other names
Evergreen Packaging Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
119 PARK ST, CANTON, NC 28716-4319
(828) 235-3023
(828) 235-9119
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(877) 865-9013
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
08/15/2022
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