Organization · Type 2 NPI
Premise Health of North Carolina Medical PC
General Practice Physician · Wilson, NC
NPI number
1366053613
Active
Practice location
2713 Forest Hills Rd SW Bldg B
Wilson, NC 27893-4432
Fax (252) 206-4987
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
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.
Other general practice physician providers in Wilson
About NPI 1366053613
Premise Health of North Carolina Medical PC's National Provider Identifier is 1366053613, issued on Aug 11, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Wilson, NC. The record was last updated on Feb 4, 2026.