Individual
JASON A LEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4905 GREEN RD, STE. 100, RALEIGH, NC 27616-2805
(919) 872-5411
(919) 872-5904
Mailing address
5420 WADE PARK BLVD, STE 106, RALEIGH, NC 27607-4188
(919) 851-2174
(919) 854-7774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103821
NC
Other
Enumeration date
08/23/2006
Last updated
06/14/2010
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