Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Other names
CHS North Carolina Medical PC, DTNA - Cleveland Truck Occ
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN B LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
11550 STATESVILLE BLVD, CLEVELAND, NC 27013-8114
(704) 645-5997
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
10/09/2022
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