Individual
BAXTER LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 2ND AVE NE, HICKORY, NC 28601-5045
(828) 328-2231
(828) 323-1562
Mailing address
PO BOX 890273, CHARLOTTE, NC 28289-0273
(828) 328-2231
(828) 323-1562
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
18016
NC
207Q00000X
Family Medicine Physician
Primary
18016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8951732
—
NC
01
—
CN8132
MEDICARE RAILROAD
NC
Enumeration date
01/12/2006
Last updated
03/22/2016
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