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Individual

DR. LEELAMMA GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
215 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2827
(804) 526-8411
(804) 526-4321
Mailing address
215 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2827
(804) 526-8411
(804) 526-4321

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101235226
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000701250
AETNA-NON-HMO
VA
05
010029180
VA
01
2130410
FIRST HEALTH
VA
01
2885821
CIGNA
VA
01
3302383
AETNA-HMO
VA
01
421599648
HUMANA GOLD CHOICE
VA
01
466030
ANTHEM
VA
Enumeration date
06/08/2006
Last updated
09/05/2012
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