Provider Demographics
NPI:1811140098
Name:ABERNATHY, LEIGH ANNE
Entity type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:ANNE
Last Name:ABERNATHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:HILDEBRAN
Mailing Address - State:NC
Mailing Address - Zip Code:28637-0664
Mailing Address - Country:US
Mailing Address - Phone:828-397-3420
Mailing Address - Fax:828-397-3477
Practice Address - Street 1:300 MAIN AVE WEST
Practice Address - Street 2:
Practice Address - City:HILDEBRAN
Practice Address - State:NC
Practice Address - Zip Code:28637
Practice Address - Country:US
Practice Address - Phone:828-397-3420
Practice Address - Fax:828-397-3477
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist