Organization
CENTRAL VIRGINIA NEUROLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD M LEATON M.D. (PARTNER)
(804) 379-7721
Entity
Organization
Contact information
Practice address
14355 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6837
(804) 379-7721
(804) 379-7699
Mailing address
14355 SOMMERVILLE CT, MIDLOTHIAN, VA 23113-6837
(804) 379-7721
(804) 379-7699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164224
ANTHEM BCBS
VA
01
—
DE5296
RR MEDICARE
VA
Enumeration date
11/01/2006
Last updated
08/30/2007
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