Premise Health of North Carolina Medical, P.c
NPI #1467931584 in Wallace, North Carolina
Provider Information
- NPI Number
- 1467931584
- Entity Type
- Organization
- Organization Name
- Premise Health of North Carolina Medical, P.c
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 9, 2018
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 112 MEDICAL VILLAGE DR STE F
- City
- Wallace
- State
- North Carolina
- ZIP Code
- 28466-1665
- Phone
- (910) 285-0940
Authorized Official
- Name
- DR. JON LEIZMAN, MD
- Title
- PRESIDENT
- Phone
- (216) 479-9063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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