Organization · Type 2 NPI

Premise Health of North Carolina Medical, P.c

Family Medicine Physician · Canton, NC

NPI number 1013943646 Active

Practice location

121 Park St
Canton, NC 28716-4319

Call (828) 235-8414 Map

Fax (828) 235-9135

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Canton

Premise Health of North Carolina Medical, P.cFamily Medicine Physician Canton, NC NPI 1437213394

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NPI record

NPI: 1013943646
Entity type: Organization (Type 2)
Issued: Jun 24, 2006
Last updated: Aug 24, 2022
Status: Active

Other names

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State Health Plan Primary Care Center · doing business as
State Health Plan Primary Care Center · doing business as

Authorized official

Jon Leizman, MD
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013943646

Premise Health of North Carolina Medical, P.c's National Provider Identifier is 1013943646, issued on Jun 24, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Canton, NC. The record was last updated on Aug 24, 2022.