James Edgar Leake in Marietta - Plastic And Reconstructive Surgery
James Edgar Leake - NPI 1356334825
James Edgar Leake is a Plastic And Reconstructive Surgery in Marietta, Georgia. James Edgar Leake practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for James Edgar Leake is 1356334825. The last update date is 2019-01-02.
James Edgar Leake's current location address is 672 Beauregard Dr Sw, Marietta, Georgia. You can contact this provider via phone number 7704223386 and fax number 7704223386. The mailing address for James Edgar Leake is 672 Beauregard Dr Sw, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Edgar Leake |
|---|---|
| Address | 672 Beauregard Dr Sw, Marietta, Georgia |
| Phone Number | 7704223386 |
| Fax Number | 7704223386 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356334825 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2019-01-02 |
Provider Mailing Address Detail
| Address | 672 Beauregard Dr Sw |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300645509 |
| Phone Number | 7704223386 |
| Fax Number | 7704223386 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 26144 |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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Post Comment/ Review Below
What is the unique identifier code issued to James Edgar Leake by the Centers for Medicare & Medicaid Services (CMS)?
The James Edgar Leake has been assigned the NPI (National Provider Identifier) 1356334825. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of James Edgar Leake?
The James Edgar Leake is situated at 672 Beauregard Dr Sw, in the city of Marietta, state of GA, with the zip code 300645509.
What is James Edgar Leake's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James Edgar Leake is Plastic And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0122X.
On what date did the James Edgar Leake receive its 1356334825 assignment from the Centers for Medicare & Medicaid Services?
The James Edgar Leake was assigned its 1356334825 by the Centers for Medicare & Medicaid Services on 2005-08-30.
When was the information pertaining to James Edgar Leake most recently updated or revised?
The details related to James Edgar Leake, including its address, specialty, and other relevant information, were last updated or revised on 2019-01-02.