MR. Charles Leatherwood

NPI #1730493131 in Bartlett, Tennessee

Provider Information

NPI Number: 1730493131
Entity Type: Individual
Name: MR. Charles Leatherwood
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Health Educator
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 3910 NEYLAND VALLEY DR
City: Bartlett
State: Tennessee
ZIP Code: 38135-4215
Phone: (901) 382-0208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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