Individual
DR. LESLIE B CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1124 E WEISGARBER RD, STE 100, KNOXVILLE, TN 37909
(865) 584-0905
(865) 584-3892
Mailing address
1124 E WEISGARBER RD STE 104, KNOXVILLE, TN 37909-2686
(865) 584-0905
(865) 584-3892
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21400
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0645010002
PTAN
TN
Enumeration date
06/10/2005
Last updated
08/30/2018
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