Individual
DR. MARK H LEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1616 GUNBARREL RD, SUITE 103, CHATTANOOGA, TN 37421-4136
(423) 826-8200
(423) 826-8201
Mailing address
1616 GUNBARREL RD, SUITE 103, CHATTANOOGA, TN 37421-4136
(423) 826-8200
(423) 826-8201
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD0000018072
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1340106
UHC
TN
01
—
139412005329
HUMANA
TN
01
—
3154377
BLUE
TN
01
—
4953610
CIGNA
TN
01
—
5959415
AETNA
TN
Enumeration date
07/14/2006
Last updated
10/31/2007
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