Provider Demographics
NPI:1053347492
Name:LECONTE WOMEN'S HEALTHCARE ASSOCIATES, PC
Entity type:Organization
Organization Name:LECONTE WOMEN'S HEALTHCARE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-908-9888
Mailing Address - Street 1:740 MIDDLE CREEK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-5053
Mailing Address - Country:US
Mailing Address - Phone:865-908-9888
Mailing Address - Fax:865-908-8756
Practice Address - Street 1:740 MIDDLE CREEK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5053
Practice Address - Country:US
Practice Address - Phone:865-908-9888
Practice Address - Fax:865-908-8756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3733703Medicare PIN