# PREMIER WOMEN'S CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649702762
- **Authorized official:** DELORES LORRAINE JOHNSON-LEE MD (PHYSICIAN)
- **Authorized official phone:** (910) 964-6829

## Contact information

- **Practice address:** 2135 VALLEYGATE DR, SUITE 200, FAYETTEVILLE, NC 28304-3750
- **Practice address phone:** (910) 964-6829
- **Mailing address:** 2135 VALLEYGATE DR STE 101, FAYETTEVILLE, NC 28304-3751
- **Mailing address phone:** (910) 964-6829
- **Mailing address fax:** (910) 339-9040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 200400406 | NC | — |
| 207V00000X | Obstetrics & Gynecology Physician | 200400525 | NC | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 02/23/2018