Organization
LEAVITT FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JASON LEAVITT M.D. (FAMILY PHYSICIAN)
(615) 826-5664
Entity
Organization
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 103A, HENDERSONVILLE, TN 37075-2379
(615) 826-5664
(615) 826-5665
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE 103A, HENDERSONVILLE, TN 37075-2931
(615) 826-5664
(615) 826-5665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000038410
TN
Other
Enumeration date
04/02/2008
Last updated
08/14/2008
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