DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. LEEANNA SUE HARDING PHYSICIAN ASSISTANT

MEDICARE: MRS. LEEANNA SUE HARDING PHYSICIAN ASSISTANT
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
1363A00000XPhysician Assistant1039SC
2363A00000XPhysician Assistant001000198NC

General Provider Information

NPI Number : 1740208297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEEANNA SUE HARDING PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : 4479 ACORN HILL DR
Second Line :
City : LANCASTER
State : SC
Zip : 29720-0277
Country : US
Telephone Number : 803-367-1504
Fax Number :
Provider Business Practice Location Address
First Line : 1142 N BROOME ST
Second Line :
City : WAXHAW
State : NC
Zip : 28173-9378
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 04/29/2026

Similar Medicare Providers

1780665521 — MARLENE T WALLACE RN, FNP-C
Practice Location Address:
1142 N BROOME ST
WAXHAW, NC
28173-9378
Practice Phone: 704-843-4680
Practice Fax:
1528162294 — NORTH CAROLINA CVS PHARMACY LLC
Practice Location Address:
1142 N BROOME ST
WAXHAW, NC
28173-9378
Practice Phone: 704-843-4680
Practice Fax:
1790978609 — CHRISTINA IANNELLI FNP
Practice Location Address:
1142 N BROOME ST
WAXHAW, NC
28173-9378
Practice Phone: 794-843-4680
Practice Fax: 704-843-4680
1467757526 — DR. RYAN WILLIAM PETRONIS
Practice Location Address:
1142 N BROOME ST
WAXHAW, NC
28173-9378
Practice Phone: 704-843-4680
Practice Fax:
1104268663 — JENNIFER CHIMERA
Practice Location Address:
1142 N BROOME ST
WAXHAW, NC
28173-9378
Practice Phone: 866-389-2727
Practice Fax: 401-652-9787
1346678174 — ELISA EDGERTON FNP
Practice Location Address:
1142 N BROOME ST
WAXHAW, NC
28173-9378
Practice Phone: 704-843-4680
Practice Fax:

Directions to “ MRS. LEEANNA SUE HARDING PHYSICIAN ASSISTANT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.