Organization
NORTON COMMUNITY PHYSICIAN SERVICES LLC
Active
Organization
NORTON COMMUNITY PHYSICIAN SERVICES LLC
Active
Other names
LOCUM TENENS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T LEONARD (CEO)
(276) 679-8890
Entity
Organization
Contact information
Practice address
96 15TH ST NW, NORTON, VA 24273-1620
(276) 679-8890
(276) 679-9740
Mailing address
PO BOX 5127, JOHNSON CITY, TN 37602-5127
(866) 397-1439
(423) 262-1373
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
07/02/2012
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