Individual
MARSHA SLAUGHTER LEABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3448 US ROUTE 60, HUNTINGTON, WV 25705-2906
(304) 522-1550
(304) 522-0704
Mailing address
PO BOX 910, RADIOLOGY INC, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17637
WV
2085R0202X
Diagnostic Radiology Physician
35.080733
OH
2085R0202X
Diagnostic Radiology Physician
37142
KY
2085R0202X
Diagnostic Radiology Physician
ME162765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000194480
UNISON
OH
01
—
000757604
MTN STATE BCBS
—
05
—
0119925000
—
WV
05
—
0955677
—
OH
01
—
300042676
RR MEDICARE (WV)
WV
01
—
4458634
AETNA
—
01
—
50007252
PASSPORT
KY
01
—
55049337600
WORKMANS COMP
WV
05
—
6470009900
—
KY
Enumeration date
12/06/2005
Last updated
04/18/2024
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