Individual
LESLIE TILLOTSON WEBSTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10650 PARK RD, STE 480 A, CHARLOTTE, NC 28210-8538
(704) 355-1813
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9900719
NC
Other
Enumeration date
12/21/2005
Last updated
07/15/2024
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