Individual
SUSAN MARIE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1928 ALCOA HWY STE B205, KNOXVILLE, TN 37920-1504
(865) 305-4305
(865) 305-4067
Mailing address
PO BOX 589, WINFIELD, TN 37892-0589
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APN0000025437
TN
Other
Enumeration date
07/12/2019
Last updated
07/19/2021
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