Organization · Type 2 NPI
Leodez
General Practice Physician · Tucker, GA
NPI number
1255933115
Active
Practice location
4292 Chamblee Tucker Rd
Tucker, GA 30084-2103
Mailing address
3899 Grassland Loop
Lake Mary, FL 32746-4120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician | 207QA0505X | None listed |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Tucker
About NPI 1255933115
Leodez's National Provider Identifier is 1255933115, issued on Nov 14, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tucker, GA. The record was last updated on Nov 14, 2020.