Provider Demographics
NPI:1457384133
Name:DODSON, LEIGH MASTEN (MD)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:MASTEN
Last Name:DODSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BATON LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-9507
Mailing Address - Country:US
Mailing Address - Phone:828-654-7883
Mailing Address - Fax:
Practice Address - Street 1:2 MEDICAL PARK DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-7782
Practice Address - Country:US
Practice Address - Phone:828-254-5326
Practice Address - Fax:828-251-5954
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20010022/208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89132RJMedicaid