Individual
MARY D LEATHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6920 ROANOKE RD, SHAWSVILLE, VA 24162-0467
(540) 268-1400
(540) 268-1300
Mailing address
PO BOX 467, SHAWSVILLE, VA 24162-0467
(540) 268-1400
(540) 268-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9900252
NC
Other
Enumeration date
10/06/2005
Last updated
08/12/2011
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