Dr. Leah Ruth Broadhurst, MD
Internal Medicine in Hickory, NC. Individual provider (NPI-1).
NPI number1437687993
StatusActive
Last updated in NPPESAug 17, 2021
Details
- NPI
- 1437687993
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leah Ruth Broadhurst
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2017
- Certification date
- Aug 17, 2021
- Last updated
- Aug 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2021-02450 | NC | Yes |
| 207R00000X | Internal Medicine | LL41071 | SC | |
| 208000000X | Pediatrics | 2021-02450 | NC |
Practice location
133 1st Ave SeHickory, NC 28602-3005
Phone 828-994-4544
Mailing address
200 E 2nd AveGastonia, NC 28052-4358
Phone 704-874-1904
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