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Individual

LESLEY MACINNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4355 HICKORY BLVD STE 2, GRANITE FALLS, NC 28630-2014
(828) 757-5050
(828) 757-5051
Mailing address
321 MULBERRY STREET, SW, MEDICAL STAFF SERVICES, LENOIR, NC 28645
(828) 757-5965
(828) 757-5104

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201601004
NC

Other

Enumeration date
06/07/2013
Last updated
03/18/2021
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