Individual
BRAD LEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2995 MILLER AVE, CROSSVILLE, TN 38555-7721
(931) 787-1362
Mailing address
2995 MILLER AVE, CROSSVILLE, TN 38555-7721
(931) 787-1362
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
61615
TN
Other
Enumeration date
04/15/2016
Last updated
06/29/2020
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