Individual
MARLYN A LEISY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9430 PARKWEST BLVD, SUITE 320, KNOXVILLE, TN 37923
(865) 769-4444
(865) 769-4419
Mailing address
9430 PARKWEST BLVD, SUITE 320, KNOXVILLE, TN 37923
(865) 769-4444
(865) 769-4419
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD18044
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016430
—
TN
Enumeration date
05/19/2006
Last updated
07/08/2007
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