Derrell Levohn Leggett in Jackson - Interventional Pain Medicine
Derrell Levohn Leggett - NPI 1306025630
Derrell Levohn Leggett is a Interventional Pain Medicine in Jackson, Georgia. Derrell Levohn Leggett practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Derrell Levohn Leggett is 1306025630. The last update date is 2022-05-24.
Derrell Levohn Leggett's current location address is 794 Mcdonough Rd, Jackson, Georgia. You can contact this provider via phone number 4702515300 and fax number 4702515301. The mailing address for Derrell Levohn Leggett is 794 Mcdonough Rd, Jackson, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Derrell Levohn Leggett |
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Address | 794 Mcdonough Rd, Jackson, Georgia |
Phone Number | 4702515300 |
Fax Number | 4702515301 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1306025630 |
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Provider Enumeration Date | 2007-11-02 |
Last Updated Date | 2022-05-24 |
Provider Mailing Address Detail
Address | 794 Mcdonough Rd |
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City | Jackson |
State | Georgia (GA) |
Post Code | 302331572 |
Phone Number | 4702515300 |
Fax Number | 4702515301 |
Provider's Primary Taxonomy Detail
Speciality | Interventional Pain Medicine |
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Taxonomy | 208Vp0014X |
Licence No | 66346 |
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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003118346C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Derrell Levohn Leggett by the Centers for Medicare & Medicaid Services?
The Derrell Levohn Leggett has been issued the NPI (National Provider Identifier) 1306025630, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Derrell Levohn Leggett is physically located?
The Derrell Levohn Leggett is situated at the following address: 794 Mcdonough Rd, Jackson, GA 302331572.
What is Derrell Levohn Leggett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derrell Levohn Leggett is Interventional Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0014X.
On what date did the Derrell Levohn Leggett receive its 1306025630 assignment from the Centers for Medicare & Medicaid Services?
The Derrell Levohn Leggett was assigned its 1306025630 by the Centers for Medicare & Medicaid Services on 2007-11-02.
As of what date were the details pertaining to Derrell Levohn Leggett last refreshed?
The information related to the Derrell Levohn Leggett, including its address, specialty, and other relevant details, was last updated on 2022-05-24.
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