Provider Demographics
NPI:1437412871
Name:WOFFORD LEONG, ASHLEY E (MD, MPH, NABBLM-C)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:E
Last Name:WOFFORD LEONG
Suffix:
Gender:F
Credentials:MD, MPH, NABBLM-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:455 SWIFTSIDE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7200
Mailing Address - Country:US
Mailing Address - Phone:919-335-8203
Mailing Address - Fax:510-256-7893
Practice Address - Street 1:455 SWIFTSIDE DR STE 105
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7200
Practice Address - Country:US
Practice Address - Phone:919-335-8203
Practice Address - Fax:510-256-7893
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR73428207Q00000X
NC2017-00311207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine