Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Other names
Maxton Occupational Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN JR. M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
2120 NC 71 HIGHWAY NORTH, MAXTON, NC 28364-9433
(910) 844-1236
(910) 844-1349
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(910) 844-1236
(910) 844-1349
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
08/24/2022
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