Individual
JOSHUA O LEATHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8245
(865) 309-0746
Mailing address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
219852
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
31351
TN
Other
Enumeration date
09/30/2020
Last updated
03/31/2022
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