Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
Other names
TBMNC IHS
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN MD (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
5938 JULIAN AIRPORT RD BLDG 801, LIBERTY, NC 27298-8038
(743) 557-6962
(336) 652-3982
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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