Organization
ROCKY MOUNT REHABILITATION ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD JOHN TANANIS JR. MD (OWNER/SOLE PROPRIETOR)
(252) 451-3734
Entity
Organization
Contact information
Practice address
2400 MEDPARK DR, ROCKY MOUNT, NC 27804-2289
(252) 451-3734
(252) 451-3737
Mailing address
2400 MEDPARK DR, ROCKY MOUNT, NC 27804-2289
(252) 451-3734
(252) 451-3737
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891197M
—
NC
Enumeration date
01/10/2007
Last updated
10/15/2009
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