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Contact Information

JAMES LEAKE
120 VANN ST NE
SUITE 150
MARIETTA, GA30060-7357
 Phone: 770-421-1242
 Fax: 770-424-6652
 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 LEAKE · (Female)

NPI Number 1831578699
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2015
Last updated 05/27/2015 - About 11 years ago
Sole proprietor 1 Not specified
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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