Organization · Type 2 NPI
Premise Health of North Carolina Medical PC
General Practice Physician · Rural Hall, NC
NPI number
1417264615
Active
Practice location
531 Northridge Park Dr
Rural Hall, NC 27099-1384
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Other practice locations
- 1000 E Hanes Mill Rd, Winston Salem, NC 27105-1384 · (336) 519-6445
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
About NPI 1417264615
Premise Health of North Carolina Medical PC's National Provider Identifier is 1417264615, issued on Sep 9, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rural Hall, NC. The record was last updated on Feb 4, 2026.