Organization · Type 2 NPI
Premise Health of North Carolina Medical PC
General Practice Physician · Charlotte, NC
NPI number
1679184055
Active
Practice location
2320 Cascade Pointe Blvd
Charlotte, NC 28208-7203
Fax (336) 291-4697
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.
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About NPI 1679184055
Premise Health of North Carolina Medical PC's National Provider Identifier is 1679184055, issued on Aug 11, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 13, 2026.