MEDICARE: DR. PAIGE LEONARD DC

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
1	111N00000X	Chiropractor	5361	NC

General Provider Information

NPI Number	:	1417620246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAIGE LEONARD DC

Provider Business Mailing Address
First Line	:	325 SOUND RD STE 205
Second Line	:
City	:	HOLLY RIDGE
State	:	NC
Zip	:	28445-7813
Country	:	US
Telephone Number	:	910-803-1844
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 SOUND RD STE 205
Second Line	:
City	:	HOLLY RIDGE
State	:	NC
Zip	:	28445-7813
Country	:	US
Telephone Number	:	910-803-1844
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	06/25/2024

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Directions to “ DR. PAIGE LEONARD DC” Practice Location

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