Provider Demographics
NPI:1003898107
Name:MCLEOD, JULIAN EC (PA)
Entity type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:EC
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:804 ENGLISH ROAD, SUOTE 220
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804
Mailing Address - Country:US
Mailing Address - Phone:252-451-7043
Mailing Address - Fax:336-933-8278
Practice Address - Street 1:804 ENGLISH ROAD, SUOTE 220
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804
Practice Address - Country:US
Practice Address - Phone:252-451-7043
Practice Address - Fax:336-933-8278
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2025-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA110001306363AM0700X
NC001000486363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical