Provider Demographics
NPI:1922315738
Name:LESLIE MURPHY-MD, P.C.
Entity Type:Organization
Organization Name:LESLIE MURPHY-MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-215-0892
Mailing Address - Street 1:80 AVIEMORE CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9732
Mailing Address - Country:US
Mailing Address - Phone:910-215-0892
Mailing Address - Fax:910-215-0896
Practice Address - Street 1:80 AVIEMORE COURT
Practice Address - Street 2:SUITE B
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9732
Practice Address - Country:US
Practice Address - Phone:910-215-0892
Practice Address - Fax:910-215-0896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001513207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1225073497OtherLESLIE MURHPHY MD
NC1225073497OtherLESLIE MURHPHY MD
NCG74330Medicare UPIN