Individual provider · Type 1 NPI

Jesse Raymond Leclair, PA-C

Surgical Physician Assistant · Augusta, GA

NPI number 1730197047 Active

Practice location

1 Freedom Way, Vamc-Dd, Thoracic Surgery, Routing # 22
Augusta, GA 30904-6258

Call (706) 733-0188 Map

Fax (706) 823-3983

Mailing address

460 Ashridge Way
Augusta, GA 30907-4916

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002936 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1730197047

Jesse Raymond Leclair, PA-C's National Provider Identifier is 1730197047, issued on Aug 3, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.