Individual
LEIGH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4325 LAKE BOONE TRL STE 315, RALEIGH, NC 27607-7510
(984) 974-0498
(984) 974-0499
Mailing address
4325 LAKE BOONE TRL STE 315, RALEIGH, NC 27607-7510
(954) 974-0498
(984) 974-0499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024174122
VA
Other
Enumeration date
10/21/2016
Last updated
04/02/2021
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