Individual
DR. HUGH KENNETH LEATHERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3320 WAKE FOREST RD, SUITE 320, RALEIGH, NC 27609-7300
(919) 790-5500
(919) 790-0108
Mailing address
3320 WAKE FOREST RD, SUITE 320, RALEIGH, NC 27609-7300
(919) 526-1717
(919) 790-0108
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7951321
—
NC
Enumeration date
05/26/2006
Last updated
07/07/2011
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