Provider Demographics
NPI:1811189004
Name:BECHARD, DOUGLAS LEANDRE (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:LEANDRE
Last Name:BECHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5746 MARLIN RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-4009
Mailing Address - Country:US
Mailing Address - Phone:423-892-4882
Mailing Address - Fax:423-855-4243
Practice Address - Street 1:5746 MARLIN RD
Practice Address - Street 2:SUITE 500
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-4009
Practice Address - Country:US
Practice Address - Phone:423-892-4882
Practice Address - Fax:423-855-4243
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN10615207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10615OtherMEDICAL LICENSE NUMBER