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

TaxonomyCodeLicense
Adult Medicine Physician 207QA0505XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed
General Practice Physician Primary 208D00000XNone 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

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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.