Individual
DR. CHARLES EDWIN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1171 HIGHWAY 11 E, SUITE 101, TALBOTT, TN 37877-3137
(865) 475-2400
Mailing address
1171 HIGHWAY 11 E, SUITE 101, TALBOTT, TN 37877-3137
(865) 475-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
122284
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3185546
—
TN
Enumeration date
02/22/2006
Last updated
01/19/2010
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