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Individual

DR. BARRY LESHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1450 PROFESSIONAL PARK DR, STE 150, WINSTON SALEM, NC 27103
(336) 724-2434
(336) 724-6123
Mailing address
1450 PROFESSIONAL PARK DR, STE 150, WINSTON SALEM, NC 27103-1300
(336) 724-2434
(336) 724-6123

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
30199
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89011WP
NC
Enumeration date
05/02/2006
Last updated
05/13/2016
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