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Contact Information

JAMES E LEAKE, MD
672 BEAUREGARD DR SW
MARIETTA, GA30064-5509
 Phone: 770-422-3386
 Fax: 770-422-3386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAMES E LEAKE · (Male)

NPI # 1356334825
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2005
Last updated 01/02/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 026144
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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