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Individual

LELAND CLEVELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
415 BOONES CREEK RD, JONESBOROUGH, TN 37659-5165
(423) 788-3080
(423) 913-2810
Mailing address
415 BOONES CREEK RD, JONESBOROUGH, TN 37659-5165
(423) 788-3080
(423) 913-2810

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35859
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1517795
TN
05
1517920
TN
Enumeration date
06/16/2005
Last updated
05/02/2013
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