Individual
RALPH BEAUMONT LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22767
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195228000
—
WV
01
—
26984
MEDCOST
NC
01
—
4226288
AETNA
—
01
—
4355
PARTNERS
NC
01
—
51731
BCBS
NC
05
—
6050638
—
VA
05
—
8951731
—
NC
05
—
Q22767
—
SC
Enumeration date
11/30/2005
Last updated
08/05/2010
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