Provider Demographics
NPI:1992704449
Name:HENRY, LEONARD R (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:R
Last Name:HENRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:225 CANDLER DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6023
Mailing Address - Country:US
Mailing Address - Phone:912-352-1700
Mailing Address - Fax:912-354-8545
Practice Address - Street 1:225 CANDLER DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6023
Practice Address - Country:US
Practice Address - Phone:912-352-1700
Practice Address - Fax:912-354-8545
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2022-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA928242086X0206X
IN01068411A2086X0206X
IN01068411B2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology