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Individual

DR. ANNE LEIGH IBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3850 ED DRIVE, STE 100, RALEIGH, NC 27612-8037
(919) 788-9588
(919) 645-1640
Mailing address
3850 ED DRIVE, STE 100, RALEIGH, NC 27612-8037
(919) 788-9588
(919) 645-1640

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34633
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8945266
NC
Enumeration date
06/02/2005
Last updated
01/08/2008
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