Individual
JAMES DOUGLAS LEAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2801 RANDOLPH RD STE 100, CHARLOTTE, NC 28211-1051
(704) 367-4800
(704) 316-3025
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
5254
AZ
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
757113
—
AZ
Enumeration date
09/07/2012
Last updated
11/18/2024
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