Individual
MR. CHARLES LEATHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3910 NEYLAND VALLEY DR, BARTLETT, TN 38135-4215
(901) 382-0208
Mailing address
3910 NEYLAND VALLEY DR, BARTLETT, TN 38135-4215
(901) 382-0208
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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