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Leitherland Family Care Clinic, Pllc
Primary Care Clinic/Center in Dyer, Tennessee
NPI 1376712448

Leitherland Family Care Clinic, Pllc is a Primary Care Clinic/Center based in Dyer, TN and is specialized in Primary Care. Leitherland Family Care Clinic, Pllc practices in Dyer, TN. The NPI Number for Leitherland Family Care Clinic, Pllc is 1376712448 and holds a License No. APN5603 (Tennessee).

The current practice location address for Leitherland Family Care Clinic, Pllc is 1123 N Main St, Dyer, TN and can be reached out via phone at 731-692-2853 and via fax at 731-692-2367.

Location: 1123 N Main St, Dyer, TN, 38330-1019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376712448
Provider Name
Leitherland Family Care Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
1123 N Main St, Dyer, TN, 38330-1019
Phone Number
731-692-2853
Fax Number
731-692-2367
Provider Enumeration Date
02/22/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S66580 01 TN UPIN
institution
Provider Business Practice Location Address Details
Address
1123 N Main St
City
Dyer
State
Tennessee
Zip
38330-1019
Phone Number
731-692-2853
Fax Number
731-692-2367
person
Provider Business Mailing Address Details
Address
1123 N Main St
City
Dyer
State
Tennessee
Zip
38330-1019
Phone Number
731-692-2853
Fax Number
731-692-2367
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
APN5603 (Tennessee)
Definition
Definition to come...
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