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Organization
EAST TENNESSEE MEDICAL AND SURGICAL DERMATOLOGY
Active
Organization
EAST TENNESSEE MEDICAL AND SURGICAL DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART S LEICHT (PHYSICIAN)
(423) 262-0112
Entity
Organization
Contact information
Practice address
2898 BOONES CREEK RD STE 105, JOHNSON CITY, TN 37615-4976
(423) 262-0112
Mailing address
2898 BOONES CREEK RD STE 105, JOHNSON CITY, TN 37615-4976
(423) 262-0112
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/02/2020
Last updated
09/14/2026
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