| Premise Health Of North Carolina Medical, P.c | |
|
16526 Nc Highway 87 W Tar Heel NC 28392-8608 | |
| (910) 872-5710 | |
| (910) 872-5711 |
| Full Name | Premise Health Of North Carolina Medical, P.c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 16526 Nc Highway 87 W, Tar Heel, North Carolina |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of North Carolina Medical, P.c 16526 Nc Highway 87 W Tar Heel NC 28392-8608 Ph: (910) 872-5710 | Premise Health Of North Carolina Medical, P.c 16526 Nc Highway 87 W Tar Heel NC 28392-8608 Ph: (910) 872-5710 |
| NPI Number | 1255487096 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255487096 | NPI | - | NPPES |
| 08321 | Other | NC | NC PHARMACY PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 08321 (North Carolina) | Primary |
Smithfield Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16526 Nc Highway 87 W, Tar Heel, NC 28392 Phone: 910-872-5720 Fax: 910-872-5739 | |
Tri County Community Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16526 Nc Highway 87 W, Tar Heel, NC 28392 Phone: 877-935-5255 Fax: 910-236-2118 |