Organization · Type 2 NPI
Premise Health of North Carolina Medical PC
Health Service Clinic/Center · Durham, NC
NPI number
1659511186
Active
Practice location
1968 Ivy Creek Blvd
Durham, NC 27707-3455
Fax (919) 765-3498
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1659511186
Premise Health of North Carolina Medical PC's National Provider Identifier is 1659511186, issued on Feb 24, 2009. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Durham, NC. The record was last updated on Mar 4, 2026.