Individual
MR. LEONARD GREGORY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2920 HIGHWOODS BLVD STE 200, RALEIGH, NC 27604-1556
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
101655
NC
363AM0700X
Medical Physician Assistant
Primary
101665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190E
BCBS GROUP
NC
05
—
1114986759
—
NC
01
—
231662
UHC
NC
01
—
3016840
AETNA
NC
01
—
313454
WELLPATH
NC
05
—
890190E
—
NC
01
—
97582
MEDCOST
NC
Enumeration date
03/22/2006
Last updated
01/28/2021
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