Individual
DR. LEONARD ROBERT NYLAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
723 AYERSVILLE RD, MADISON, NC 27025-1505
(336) 427-0281
Mailing address
PO BOX 890195, CHARLOTTE, NC 28289-0195
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2707312
AETNA
NC
01
—
4838
PARTNERS MEDICARE CHOICE
NC
01
—
63627
BCBS NC
NC
05
—
8963627
—
NC
01
—
D4188
MEDCOST
NC
Enumeration date
05/23/2006
Last updated
07/09/2007
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