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NPI Code Detail

MEDICARE: LEONDRE HORSEY

MEDICARE: LEONDRE HORSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1114877743
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONDRE HORSEY
Provider Business Mailing Address
First Line : 7918 BRISTLE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28214-8409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7918 BRISTLE LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28214-8409
Country : US
Telephone Number : 240-761-5274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ LEONDRE HORSEY ” Practice Location

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