Dr. Leslie Weylon Panus
Internist Nephrologist
107 Woodlawn Dr
Johnson City
, Tennessee 37604-5978
Dr. Leslie Weylon Panus
Internist Nephrologist
107 Woodlawn Dr
Johnson City
, Tennessee 37604-5978
(423) 928-9625
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Leslie Weylon Panus
- 107 Woodlawn Dr
- Johnson City, TN
- Zip : 37604-5978
- Fax : (423) 928-9625
- Phone : (423) 929-7168
Second Address
- Dr. Leslie Weylon Panus
- 107 Woodlawn Dr
- Johnson City, TN
- Zip : 37604-5978
- Fax : (423) 928-9625
- Phone : (423) 929-7168
Reviews
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Is Dr. Leslie Weylon Panus a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD27541 | TN |
| N | 111NI0900X | Internist | MD27541 | TN |
| Y | 207RN0300X | Nephrologist | MD27541 | TN |
National Provider Identifier
| NPI | 1063416089 |
|---|---|
| Provider Name | Dr. Leslie Weylon Panus |
| First Address | Johnson City, TN 37604-5978 |
| Second Address | Johnson City, TN 37604-5978 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2005 |
| Last Update Date | 30/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3098628 | (05) | TN |
| C79128 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.