Individual
FREDRICK CURTIS LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303-0278
(910) 867-5141
Mailing address
500 N MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303-0278
(910) 867-5141
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
26755
NC
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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