Individual
DR. NICOLE RIE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
501 REDMOND RD NW DEPT OF, ROME, GA 30165-1415
(706) 236-4950
Mailing address
501 REDMOND RD NW DEPT OF, ROME, GA 30165-1415
(706) 236-4950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102204129
VA
207P00000X
Emergency Medicine Physician
Primary
84478
GA
208D00000X
General Practice Physician
0102204129
VA
Other
Enumeration date
05/06/2013
Last updated
04/29/2021
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