Organization · Type 2 NPI

Premise Health of North Carolina Medical PC

Multi-Specialty Clinic/Center · Roxboro, NC

NPI number 1194490698 Active

Practice location

10475 Boston Rd
Roxboro, NC 27574-6774

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

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

About NPI 1194490698

Premise Health of North Carolina Medical PC's National Provider Identifier is 1194490698, issued on Aug 16, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Roxboro, NC. The record was last updated on Feb 3, 2026.