Provider Demographics
NPI:1861525545
Name:LEIGH, COSMAS ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:COSMAS
Middle Name:ANTHONY
Last Name:LEIGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 FALCONBRIDGE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7875
Mailing Address - Country:US
Mailing Address - Phone:919-401-9933
Mailing Address - Fax:919-402-0249
Practice Address - Street 1:6110 FALCONBRIDGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7875
Practice Address - Country:US
Practice Address - Phone:919-401-9933
Practice Address - Fax:919-402-0249
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4442111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12222BOtherMEDICARE PTAN
NCU62150Medicare UPIN
NYU62150Medicare UPIN
NY12222BMedicare ID - Type UnspecifiedCHIROPRACTIC