Individual provider · Type 1 NPI

Leslie A. Mashburn, P.A.

Surgical Physician Assistant · Albany, GA

NPI number 1720128218 Active

Practice location

2311 Lake Park Dr
Albany, GA 31707-3183

Fax (229) 434-9827

Mailing address

PO Box 71367
Albany, GA 31708-1367

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X004946 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1720128218

Leslie A. Mashburn, P.A.'s National Provider Identifier is 1720128218, issued on Feb 7, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albany, GA. The record was last updated on Apr 22, 2014.