Individual
MR. LEONARD JOHN TANANIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1580 SKEET CLUB RD, HIGH POINT, NC 27265-9530
(368) 883-0029
(368) 830-8673
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 883-0867
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9501124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891197M
—
NC
Enumeration date
08/20/2006
Last updated
06/26/2024
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