Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Other names
US11 Michelin Occupational Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
40589 S STANLY SCHOOL RD, NORWOOD, NC 28128-8752
(704) 474-2011
(704) 784-8179
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(704) 474-2011
(704) 784-8179
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/24/2022
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