Individual
MR. SON DIEP LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5003 CROSSINGS CIRCLE, SUITE 200, MT. JULIET, TN 37122-8568
(615) 872-9966
(615) 564-9300
Mailing address
5003 CROSSINGS CIRCLE, SUITE 200, MT. JULIET, TN 37122-8568
(615) 872-9966
(615) 564-9300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD35117
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1264959
CIGNA
TN
01
—
2340061
UNITED HEALTH CARE
TN
05
—
3377082
—
TN
01
—
4038594
BCBS OF TN
TN
Enumeration date
07/05/2006
Last updated
12/29/2021
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