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Individual

DR. JAMES WENDELL LEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
810 MULBERRY ST, LOUDON, TN 37774-1309
(865) 657-9303
(865) 657-9404
Mailing address
842 HATCHER LN, COLUMBIA, TN 38401-3528
(931) 388-5104
(931) 840-6266

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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