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Individual

MARK LETICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
431 COPPERFIELD BLVD NE, STE 100, CONCORD, NC 28025-2405
(704) 403-9300
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
200000255
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
200000255
NC

Other

Enumeration date
04/14/2006
Last updated
09/25/2025
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