Organization · Type 2 NPI

Premise Health of North Carolina Medical, P.c

Multi-Specialty Clinic/Center · Cleveland, NC

NPI number 1063188472 Active

Practice location

11550 Statesville Blvd
Cleveland, NC 27013-8114

Call (704) 645-5997 Map

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Premise Health of North Carolina Medical, P.cMulti-Specialty Clinic/Center Cleveland, NC NPI 1861167017

Other multi-specialty clinic/center providers in Cleveland

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NPI record

NPI: 1063188472
Entity type: Organization (Type 2)
Issued: Aug 17, 2021
Last updated: Oct 9, 2022
Status: Active

Other names

<unavail>
Dtna - Cleveland Truck Occ · doing business as
CHS North Carolina Medical PC · former legal business name

Authorized official

Jonathan B 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 1063188472

Premise Health of North Carolina Medical, P.c's National Provider Identifier is 1063188472, issued on Aug 17, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Cleveland, NC. The record was last updated on Oct 9, 2022.