| G. Gary Leigh, Ph.d., P.c. | |
|
7155 Lee Hwy Ste 300 Chattanooga TN 37421-0802 | |
| (423) 553-7560 | |
| (423) 648-9291 |
| Full Name | G. Gary Leigh, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 7155 Lee Hwy Ste 300, Chattanooga, Tennessee |
| Authorized Official Name and Position | George Gary Leigh (CEO) |
| Authorized Official Contact | 4237184035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Gary Leigh, Ph.d., P.c. 7155 Lee Hwy Ste 300 Chattanooga TN 37421-0802 Ph: (423) 553-7560 | G. Gary Leigh, Ph.d., P.c. 7155 Lee Hwy Ste 300 Chattanooga TN 37421-0802 Ph: (423) 553-7560 |
| NPI Number | 1366715757 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Medicare PECOS PAC ID | 8921267089 |
|---|---|
| Medicare Enrollment ID | O20120308000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366715757 | NPI | - | NPPES |
| 0017400 | Other | TN | BLUE SHIELD |
| 3682315 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | TNP590 (Tennessee) | Primary |
| Provider Name | George G Leigh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215045216 PECOS PAC ID: 1557520616 Enrollment ID: I20120308000467 |
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