Organization
PREMIER INTEGRATED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CABANISS PA-C (OWNER)
(843) 817-7077
Entity
Organization
Contact information
Practice address
1554 UNION RD STE C, GASTONIA, NC 28054-5581
(704) 678-8876
Mailing address
1554 UNION RD STE C, GASTONIA, NC 28054-5581
(704) 678-8876
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
001002367
NC
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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