Healthcare Provider Details

I. General information

NPI: 1285705525
Provider Name (Legal Business Name): LESLIE H BOYCE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 SUNDAY DR
RALEIGH NC
27607-5253
US

IV. Provider business mailing address

1540 SUNDAY DR
RALEIGH NC
27607-6010
US

V. Phone/Fax

Practice location:
  • Phone: 919-782-3456
  • Fax: 919-788-8986
Mailing address:
  • Phone: 919-782-3456
  • Fax: 919-788-8986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number970025
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number970025
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number9700025
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: