Individual
MARTHA P LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2005
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35964
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3880436
—
TN
01
—
4047977
BCBS
TN
01
—
4141593
BLUE CROSS
TN
01
—
6412526300
KENTUCKY MEDICAID
KY
01
—
7968645
AETNA
—
01
—
P00394310
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
03/16/2022
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