Individual
DR. LEAH MARIE UMPHLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5111 MARYLAND WAY STE 301, BRENTWOOD, TN 37027-7513
(615) 661-4256
(615) 661-4253
Mailing address
108 HEATHER WAY, BRENTWOOD, TN 37027-4384
(716) 799-2032
(615) 661-4253
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39020000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q002941
—
TN
Enumeration date
06/27/2008
Last updated
04/30/2015
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