Individual
DR. LEON ELDON EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
184 PROSSER RD, LAWRENCEBURG, TN 38464-4233
(931) 762-1800
(931) 762-9155
Mailing address
184 PROSSER RD, LAWRENCEBURG, TN 38464-4233
(931) 762-1800
(931) 762-9155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13175
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080150685
RAILROAD MEDICARE
TN
05
—
3184611
—
TN
Enumeration date
05/24/2005
Last updated
02/15/2012
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