Provider Demographics
NPI:1386656932
Name:DANIELS, MARY LEIGH ANNE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:LEIGH ANNE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:300 MEADOWMONT VILLAGE CIR STE 203
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7518
Mailing Address - Country:US
Mailing Address - Phone:984-974-5703
Mailing Address - Fax:984-974-5737
Practice Address - Street 1:300 MEADOWMONT VILLAGE CIR STE 203
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7518
Practice Address - Country:US
Practice Address - Phone:984-974-5703
Practice Address - Fax:984-974-5737
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC166182207R00000X, 208000000X
NC2010-02035207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics