Provider Demographics
NPI:1285781633
Name:ANIXTER, WILLIAM LEIGHTON (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LEIGHTON
Last Name:ANIXTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:201 TABERNACLE RD
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-2526
Mailing Address - Country:US
Mailing Address - Phone:828-257-6200
Mailing Address - Fax:828-257-6300
Practice Address - Street 1:34 N ANN ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2613
Practice Address - Country:US
Practice Address - Phone:828-254-0205
Practice Address - Fax:828-254-0184
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC314262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC204495CMedicare ID - Type Unspecified
NCC82618Medicare UPIN