Leslie Weylon Panus M.D.

NPI 1063416089 - Internal Medicine - 207R00000X

NPI Details
NPI 1063416089
Gender Female
Enumeration Date 06/08/2005
Last Updated 12/30/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
107 WOODLAWN DR
JOHNSON CITY TN, 37604-5978, US
Phone (423) 929-7168
Fax (423) 928-9625
Business Location
107 WOODLAWN DR
JOHNSON CITY TN, 37604-5978, US
Phone (423) 929-7168
Fax (423) 928-9625
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number MD27541
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According to our database, Dr. Leslie Weylon Panus M.D. NPI is 1063416089, taxonomy code is 207R00000X and license number is MD27541, license state is located at Tennessee. Leslie Weylon Panus M.D. physically located at 107 Woodlawn Dr, Johnson City TN, 37604-5978. NPI Number Leslie Weylon Panus M.D. has the Individual type.

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1063416089 NPI number is provided on an as is basis without warranty of any kind. 1063416089 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Weylon Panus M.D. are for informational purposes only.