Organization
PREMISE HEALTH OF NORTH CAROLINA MEDICAL, P.C
Active
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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