Individual
DR. TONYA S MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5815 BLAKENEY PARK DR, SUITE 100, CHARLOTTE, NC 28277-5731
(704) 542-2220
Mailing address
1072 X RAY DR STE B, GASTONIA, NC 28054-7488
(704) 671-1094
(704) 671-1095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200201125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903284
—
NC
Enumeration date
12/29/2005
Last updated
06/23/2020
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