Panus, Leslie Weylon

Panus, Leslie Weylon is an individual health care provider with primary practice located at 107 Woodlawn Dr , Johnson City TN 37604-5978. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Panus, Leslie Weylon can be contacted via phone (423) 929-7168.

Contact Information

Primary practice address
107 Woodlawn Dr Johnson City TN 37604-5978
Phone: (423) 929-7168
Fax: (423) 928-9625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD27541 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD27541 Tennessee

Profile Details

NPI number 1063416089
LBN Legal business name Panus, Leslie Weylon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Dec 30th, 2009 - about 17 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 1063416089 NPPES
Tennessee MEDICAID 3098628

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