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Andrew T Leebolt, DO
Student in an Organized Health Care Education/Training Program in Lillington, North Carolina
NPI 1104486885

Andrew T Leebolt is a Student in an Organized Health Care Education/Training Program based in Lillington, NC. Andrew T Leebolt practices in Lillington, NC and has the professional credentials of DO. The NPI Number for Andrew T Leebolt is 1104486885 and holds a License No. 5357 (North Carolina).

The current practice location address for Andrew T Leebolt is 215 Brightwater Drive, Lillington, NC and can be reached out via phone at 910-892-1000.

Location: 215 Brightwater Drive, Lillington, NC, 27546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104486885
Provider Name
Andrew T Leebolt
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
215 Brightwater Drive, Lillington, NC, 27546
Phone Number
910-892-1000
Fax Number
Provider Enumeration Date
06/16/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
215 Brightwater Drive
City
Lillington
State
North Carolina
Zip
27546
Phone Number
910-892-1000
Fax Number
person
Provider Business Mailing Address Details
Address
215 Brightwater Drive
City
Lillington
State
North Carolina
Zip
27546
Phone Number
910-892-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0116033760 (Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5357 (Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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