Individual
LEAH H HINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1175 CORPORATE PARK DR, FOREST, VA 24551-2238
(434) 525-6964
(434) 525-4035
Mailing address
PO BOX 389, FOREST, VA 24551-0389
(434) 525-6964
(434) 352-5403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101221372
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007601981
—
VA
01
—
080145971
MEDICARE RAILROAD PROVIDER NUMBER
—
01
—
208799
ANTHEM
—
Enumeration date
12/02/2005
Last updated
08/13/2013
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