Individual
DR. LEAH RUTH BROADHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 1ST AVE SE, HICKORY, NC 28602-3005
(828) 994-4544
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-02450
NC
207R00000X
Internal Medicine Physician
LL41071
SC
208000000X
Pediatrics Physician
2021-02450
NC
Other
Enumeration date
05/30/2017
Last updated
08/17/2021
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