Basic Information
| Provider Information | |||||||||
| NPI: | 1164687604 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DORTON | ||||||||
| FirstName: | LEIGHANNE | ||||||||
| MiddleName: | HOSKINS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6035 FAIRVIEW RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282103256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7042953000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 530 CORPORATE CIR | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281478074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046370158 | ||||||||
| FaxNumber: | 7046377710 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2008 | ||||||||
| LastUpdateDate: | 03/31/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | NC | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Y00000X | 2014-00658 | NC | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
ID Information
| ID | Type | State | Issuer | Description | 1490671 | 01 | COVENTRY | OTHER | 1490671 | 01 | AETNA | OTHER | 2248133 | 01 | CIGNA | OTHER | Q0065U | 05 | SC | MEDICAID | 187PX | 01 | NC | BLUE CROSS BLUE SHIELD | OTHER |