Provider Demographics
NPI:1043716756
Name:LELAND, PARKER WELLS (MD)
Entity Type:Individual
Prefix:DR
First Name:PARKER
Middle Name:WELLS
Last Name:LELAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 FLEMING ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3573
Mailing Address - Country:US
Mailing Address - Phone:828-435-8140
Mailing Address - Fax:828-435-8141
Practice Address - Street 1:1027 FLEMING ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3573
Practice Address - Country:US
Practice Address - Phone:828-435-8140
Practice Address - Fax:828-435-8141
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC239157207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty