Nifong, Leslie Wiley

Nifong, Leslie Wiley is an sole proprietor health care provider with primary practice located at 115 Heart Dr , Greenville NC 27834-8982. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Nifong, Leslie Wiley can be contacted via phone (252) 744-2187.

Contact Information

Primary practice address
115 Heart Dr Greenville NC 27834-8982
Phone: (252) 744-2187
Fax: (252) 744-3542
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 98-00988 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 9800988 North Carolina

Profile Details

NPI number 1366858086
LBN Legal business name Nifong, Leslie Wiley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2014
Last updated Feb 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366858086 NPPES
North Carolina MEDICAID 1366858086
North Carolina Other 1897F

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