Individual
MR. CHARLES ARTHUR LEAVERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
129 NE 22ND ST, OAK ISLAND, NC 28465-6214
(910) 599-3810
(910) 201-1578
Mailing address
129 NE 22ND ST, OAK ISLAND, NC 28465-6214
(910) 599-3810
(910) 201-1578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5207
NC
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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