# LEAVITT FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346413077
- **Authorized official:** DR. PAUL JASON LEAVITT M.D. (FAMILY PHYSICIAN)
- **Authorized official phone:** (615) 826-5664

## Contact information

- **Practice address:** 353 NEW SHACKLE ISLAND RD, SUITE 103A, HENDERSONVILLE, TN 37075-2379
- **Practice address phone:** (615) 826-5664
- **Practice address fax:** (615) 826-5665
- **Mailing address:** 353 NEW SHACKLE ISLAND RD, SUITE 103A, HENDERSONVILLE, TN 37075-2931
- **Mailing address phone:** (615) 826-5664
- **Mailing address fax:** (615) 826-5665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD0000038410 | TN | Yes |

## Other

- **Enumeration date:** 04/02/2008
- **Last updated:** 08/14/2008