Individual
LESLIE ANNE PROPHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CHARLOIS BLVD STE 250, WINSTON SALEM, NC 27103-1566
(336) 716-4332
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
2013-00692
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2013-00692
NC
207RP1001X
Pulmonary Disease Physician
Primary
2013-00692
NC
Other
Enumeration date
05/14/2010
Last updated
04/14/2026
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