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Individual

DR. TIMOTHY ADAM LEONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1414 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 660-4968
(704) 660-4969
Mailing address
1414 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 660-4968
(704) 660-4969

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2021-02421
NC
208600000X
Surgery Physician
OS012891
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101972098
PA
Enumeration date
05/29/2007
Last updated
11/02/2021
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