Individual
CAROLYN B LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
380 WASHINGTON ST, BOYDTON, VA 23917-3415
(434) 738-6420
Mailing address
380 WASHINGTON ST, BOYDTON, VA 23917-3415
(434) 738-6420
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024068632
VA
Other
Enumeration date
01/05/2006
Last updated
01/03/2017
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