PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC CHARLOTTE, NC

Contact Information

PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC

1030 ADMIRAL NELSON COURT
CHARLOTTE, NC 28217

Phone: 704-306-9355
Fax: 704-306-4614
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for PREMISE HEALTH OF NORTH CAROLINA MEDICAL PC · (Female)

NPI Number	`1992055941`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/18/2012
Last updated	02/04/2026 - About 4 months ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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