Organization · Type 2 NPI

Premise Health of North Carolina Medical, P.c

Occupational Medicine Clinic/Center · Maxton, NC

NPI number 1225465677 Active

Practice location

2120 Nc 71 Highway North
Maxton, NC 28364-9433

Call (910) 844-1236 Map

Fax (910) 844-1349

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: 1225465677
Entity type: Organization (Type 2)
Issued: Oct 1, 2013
Last updated: Aug 24, 2022
Status: Active

Other names

<unavail>
Maxton Occupational Health Clinic · doing business as
Maxton 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.

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About NPI 1225465677

Premise Health of North Carolina Medical, P.c's National Provider Identifier is 1225465677, issued on Oct 1, 2013. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Maxton, NC. The record was last updated on Aug 24, 2022.