Individual
LEAH BETH GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
83 S MAIN ST, LEXINGTON, TN 38351
(731) 614-7957
Mailing address
83 S MAIN ST, LEXINGTON, TN 38351-2109
(731) 614-7957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52309
TN
Other
Enumeration date
03/18/2013
Last updated
09/20/2018
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