Individual
ALAN J MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6019 WALNUT GROVE, MEMPHIS, TN 38159
(901) 226-5000
Mailing address
PO BOX 5083, MEMPHIS, TN 38101-5083
(901) 747-1000
(901) 747-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21315
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010604
—
MS
05
—
120531001
—
AR
01
—
130548
BCBS
TN
05
—
203041918
—
MO
05
—
3061383
—
TN
01
—
95492
BCBS
AR
Enumeration date
08/19/2006
Last updated
08/30/2012
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