Individual
LESLIE RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29 TAYLOR AVE STE 101, CROSSVILLE, TN 38555-4536
(931) 484-6061
Mailing address
29 TAYLOR AVE STE 101, CROSSVILLE, TN 38555-4536
(931) 484-6061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5959
TN
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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