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Individual

LEANNE KAY WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1219 LEXINGTON AVE STE B, THOMASVILLE, NC 27360
(336) 481-1880
(336) 481-1889
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 481-1880
(336) 481-1889

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36294
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8988193
NC
Enumeration date
05/26/2006
Last updated
10/25/2020
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