Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Other names
RJ Reynolds Taylor Brothers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
2415 S STRATFORD RD, WINSTON SALEM, NC 27103-6225
(336) 741-1319
(336) 218-6787
Mailing address
5500 MARYLAND WAY, SUITE 400, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
10/13/2022
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