# PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountaire Health and Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942622766
- **Authorized official:** STEVEN ASHLEY HINITT (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 136 CHICKEN PLANT RD, PARCEL 0908 01 001, LUMBER BRIDGE, NC 28357-0000
- **Practice address phone:** (910) 778-1818
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
- **Mailing address phone:** (910) 778-1818

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 02/05/2026
