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Individual

DR. THOMAS C LEITNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1428 ELLEN ST, SUITE A, MONROE, NC 28112-5173
(704) 289-4361
(704) 283-4705
Mailing address
501 S CHURCH ST, MONROE, NC 28112-5614
(704) 283-9068
(704) 283-4705

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30830
NC

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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