| NPI | 1528491156 |
|---|---|
| Doing Business As | CAREHERE LCS-LEESBURG |
| Entity Type | Organization |
| Authorized Contact | ERNIE CLEVENGER President 615-221-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2016-06-17 |