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NPI Code Detail

MEDICARE: DR. THOMAS C LEITNER M.D.

MEDICARE:  DR. THOMAS C LEITNER  M.D.
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
1174400000XSpecialist30830NC

General Provider Information

NPI Number : 1295754562
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS C LEITNER M.D.
Provider Business Mailing Address
First Line : 501 S CHURCH ST
Second Line :
City : MONROE
State : NC
Zip : 28112-5614
Country : US
Telephone Number : 704-283-9068
Fax Number : 704-283-4705
Provider Business Practice Location Address
First Line : 1428 ELLEN ST
Second Line : SUITE A
City : MONROE
State : NC
Zip : 28112-5173
Country : US
Telephone Number : 704-289-4361
Fax Number : 704-283-4705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS C LEITNER M.D.” Practice Location

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