Individual
TAMMY J LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 HOSPITAL DR, SUITE 300, FREDERICKSBURG, VA 22401-8451
(540) 373-4700
(540) 373-5635
Mailing address
1300 HOSPITAL DR, SUITE 300, FREDERICKSBURG, VA 22401-8451
(540) 373-4700
(540) 373-5635
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101058318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190002119
MEDICARE PTAN
VA
Enumeration date
08/30/2006
Last updated
05/14/2012
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