Thomas  T  Leach    MD
Contract Details
Cherokee Medical Center
Facility name
Provider ID
P000000973
NPI
1861411688
Tax ID
204370931
Effective Date
7/1/2011
Last Updated
6/12/2014
Direct Contract
Yes
Term Date
6/12/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_004
Location Details
Address
395 Northwood Drive
Centre, AL 35960
United States
County
Cherokee
Phone
2569274904 (Phone)
Billing Details
Address
P.O. Box 277503
Atlanta, GA 30384
Billing Phone
2569275531
Specialty Type
Family Practice
Map
Address