Organization · Type 2 NPI
Premise Health of North Carolina Medical PC
General Practice Physician · Charlotte, NC
NPI number
1992055941
Active
Practice location
1030 Admiral Nelson Court
Charlotte, NC 28217
Fax (704) 306-4614
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 1992055941
Premise Health of North Carolina Medical PC's National Provider Identifier is 1992055941, issued on Sep 18, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 4, 2026.