Individual
DR. JAMES WENDELL LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD9419
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
9419
TN
207V00000X
Obstetrics & Gynecology Physician
9419
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10067723
—
TN
01
—
2009778
BCBS
TN
05
—
Q009993
—
TN
Enumeration date
10/16/2006
Last updated
01/24/2024
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