Individual
LEAH NIXON WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
(919) 350-7204
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
251189
NC
390200000X
Student in an Organized Health Care Education/Training Program
251189
NC
Other
Enumeration date
05/17/2019
Last updated
11/17/2022
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