Individual
LAURA LEAH MCLEOD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 744-3256
(423) 746-1484
Mailing address
PO BOX 843, ATHENS, TN 37371-0843
(423) 744-3256
(423) 746-1484
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD29197
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3059019
BCBST
TN
05
—
3383885
—
TN
Enumeration date
06/08/2006
Last updated
07/08/2007
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