# PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** House of Raeford Health & Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467931584
- **Authorized official:** STEVEN ASHLEY HINITT (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 112 MEDICAL VILLAGE DR STE F, WALLACE, NC 28466-1665
- **Practice address phone:** (910) 285-0940
- **Practice address fax:** (910) 285-1825
- **Mailing address:** 5500 MARYLAND WAY STE 400, BRENTWOOD, TN 37027-7048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/09/2018
- **Last updated:** 03/06/2026
