Healthcare Provider Details

I. General information

NPI: 1831652023
Provider Name (Legal Business Name): LEANNA MEADE HOLLANDER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 WELLNESS WAY STE 7230
ST SIMONS ISLAND GA
31522-2286
US

IV. Provider business mailing address

200 8TH ST
RADFORD VA
24141-2446
US

V. Phone/Fax

Practice location:
  • Phone: 912-466-5840
  • Fax:
Mailing address:
  • Phone: 540-639-5188
  • Fax: 540-639-9215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number91305
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102209219
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: