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NPI Code Detail

MEDICARE: DR. COSMAS ANTHONY LEIGH D.C.

MEDICARE: DR. COSMAS ANTHONY LEIGH D.C.
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
1111N00000XChiropractor4442NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112222BOTHERNCMEDICARE PTAN

General Provider Information

NPI Number : 1861525545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COSMAS ANTHONY LEIGH D.C.
Provider Business Mailing Address
First Line : 6110 FALCONBRIDGE RD
Second Line : SUITE 100
City : CHAPEL HILL
State : NC
Zip : 27517-7875
Country : US
Telephone Number : 919-401-9933
Fax Number : 919-402-0249
Provider Business Practice Location Address
First Line : 6110 FALCONBRIDGE RD
Second Line : SUITE 100
City : CHAPEL HILL
State : NC
Zip : 27517-7875
Country : US
Telephone Number : 919-401-9933
Fax Number : 919-402-0249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 03/07/2014

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