Organization · Type 2 NPI

Premise Health of North Carolina Medical, P.c

General Practice Physician · Charlotte, NC

NPI number 1053625574 Active

Practice location

7201 Hewitt Associates Dr, Ste 500
Charlotte, NC 28262-4001

Call (704) 746-9866 Map

Fax (704) 595-9923

Mailing address

5500 Maryland Way, Ste 400
Brentwood, TN 37027-4948

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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NPI record

NPI: 1053625574
Entity type: Organization (Type 2)
Issued: Jul 27, 2010
Last updated: Oct 13, 2022
Status: Active

Other names

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Choose Health Wellness Center · doing business as
Choose Health Wellness Center · doing business as

Authorized official

Mr. Jonathan Leizman
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 1053625574

Premise Health of North Carolina Medical, P.c's National Provider Identifier is 1053625574, issued on Jul 27, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 13, 2022.