Individual provider · Type 1 NPI

Leah Marie Gumucio, PA-C

Medical Physician Assistant · Watkinsville, GA

NPI number 1992074496 Active

Practice location

1305 Jennings Mill Rd Ste 290A
Watkinsville, GA 30677-7238

Call (706) 552-1840 Map

Fax (706) 552-1849

Mailing address

4500 Forest Dr Ste A
Columbia, SC 29206-3105

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X007513 (GA)

Medical Physician Assistant: Definition to come...

Other medical physician assistant providers in Watkinsville

See all in Watkinsville →

About NPI 1992074496

Leah Marie Gumucio, PA-C's National Provider Identifier is 1992074496, issued on Dec 29, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Watkinsville, GA. The record was last updated on Feb 14, 2018.