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Individual

MARY WINDHAM LENFESTEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
517 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-2335
(252) 744-5035
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2018-00992
NC
208000000X
Pediatrics Physician
ME123430
FL
2080P0206X
Pediatric Gastroenterology Physician
2018-00992
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154688455
NC
01
19YMY
BCBS OF NC
NC
01
NN30240322
MEDICARE
NC
Enumeration date
04/12/2012
Last updated
02/02/2026
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