Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 2014-02020 | NC |
Y | 207X00000X | Orthopaedic Surgeon | 2014-02020 | NC |
NPI | 1073916003 |
---|---|
Provider Name | Christopher Leber |
First Address | Aberdeen, NC 28315-3102 |
Second Address | Aberdeen, NC 28315-3102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2014 |
Last Update Date | 05/10/2014 |