Organization · Type 2 NPI
Premise Health of North Carolina Medical PC
General Practice Physician · Durham, NC
NPI number
1093042152
Active
Practice location
2400 Ellis Rd
Durham, NC 27703-5543
Mailing address
5500 Maryland Way Ste 400
Brentwood, TN 37027-7048
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.
Another provider at this address
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- Private Diagnostic Clinic, PLLCGeneral Practice Physician Durham, NC NPI 1457389033
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About NPI 1093042152
Premise Health of North Carolina Medical PC's National Provider Identifier is 1093042152, issued on Nov 11, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Durham, NC. The record was last updated on Feb 2, 2026.