Provider Demographics
NPI:1508084807
Name:SMITH, LELAND C (MD)
Entity Type:Individual
Prefix:DR
First Name:LELAND
Middle Name:C
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:800 OAK RIDGE TPKE
Mailing Address - Street 2:SUITE A300
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6957
Mailing Address - Country:US
Mailing Address - Phone:865-483-2568
Mailing Address - Fax:865-482-4036
Practice Address - Street 1:800 OAK RIDGE TPKE
Practice Address - Street 2:SUITE A300
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6957
Practice Address - Country:US
Practice Address - Phone:865-483-2568
Practice Address - Fax:865-482-4036
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2016-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD44934207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology