Dr Andrew T Leebolt, DO | |
215 Brightwater Drive, Lillington, NC 27546 | |
(910) 892-1000 | |
Not Available |
Full Name | Dr Andrew T Leebolt |
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Gender | Male |
Speciality | Family Medicine |
Location | 215 Brightwater Drive, Lillington, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104486885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0116033760 (Virginia) | Secondary |
207Q00000X | Family Medicine | 5357 (Tennessee) | Primary |
Entity Name | Tri-cities Regional Emergency Physicians, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
Mailing Address | Practice Location Address |
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Dr Andrew T Leebolt, DO 215 Brightwater Drive, Lillington, NC 27546 Ph: (910) 892-1000 | Dr Andrew T Leebolt, DO 215 Brightwater Drive, Lillington, NC 27546 Ph: (910) 892-1000 |
Lillie Campbell, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 215 Brightwater Dr, Lillington, NC 27546 Phone: 910-892-1000 | |
Dr. John L Briggs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 East Duncan St, Lillington, NC 27546 Phone: 910-893-2641 Fax: 910-893-3208 | |
Ms. Jumoke M Ladapo-wilson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 716 North 10th Street, Lillington, NC 27546 Phone: 910-814-1212 Fax: 910-814-0303 | |
Dr. Michelle D Deblaquiere, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 716 N Tenth St., Lillington, NC 27546 Phone: 910-814-1212 |