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Individual
LADONNA K LEDFORD
Active
Individual
LADONNA K LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN131920
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000963509E
—
GA
01
—
20250I6945
MEDICARE PTAN
GA
01
—
202I501203
MEDICARE PTAN
GA
Enumeration date
07/08/2006
Last updated
05/06/2015
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