Provider Demographics
NPI:1275794810
Name:WEBB, LELAND SHAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:LELAND
Middle Name:SHAYNE
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:836 N THOMPSON LN STE 2A
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4356
Mailing Address - Country:US
Mailing Address - Phone:615-410-3676
Mailing Address - Fax:615-809-2096
Practice Address - Street 1:836 N THOMPSON LN STE 2A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4356
Practice Address - Country:US
Practice Address - Phone:615-410-3676
Practice Address - Fax:615-809-2096
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY248809208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN50904OtherSTATE LICENSE