Organization · Type 2 NPI

Premise Health of North Carolina Medical, P.c

Occupational Medicine Clinic/Center · Norwood, NC

NPI number 1124452586 Active

Practice location

40589 S Stanly School Rd
Norwood, NC 28128-8752

Call (704) 474-2011 Map

Fax (704) 784-8179

Mailing address

5500 Maryland Way
Brentwood, TN 37027-4948

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	None listed

Occupational Medicine Clinic/Center: Definition to come...

NPI record

NPI: 1124452586
Entity type: Organization (Type 2)
Issued: Aug 21, 2013
Last updated: Aug 24, 2022
Status: Active

Other names

<unavail>
Us11 Michelin Occupational Health Clinic · doing business as
Us11 Michelin Occupational Health Clinic · 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.

Is this your record? How to update it.

About NPI 1124452586

Premise Health of North Carolina Medical, P.c's National Provider Identifier is 1124452586, issued on Aug 21, 2013. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Norwood, NC. The record was last updated on Aug 24, 2022.