Individual provider · Type 1 NPI
James Edgar Leake, MD
Plastic and Reconstructive Surgery Physician · Marietta, GA
NPI number
1356334825
Active · reactivated Dec 10, 2018
Practice location
672 Beauregard Dr SW
Marietta, GA 30064-5509
Fax (770) 422-3386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 026144 (GA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1356334825
James Edgar Leake, MD's National Provider Identifier is 1356334825, issued on Aug 30, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Marietta, GA. The record was last updated on Jan 2, 2019.