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Individual

JAMES B LEKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1157 FORSYTH ST, MACON, GA 31201-7452
(478) 745-8581
(478) 328-0438
Mailing address
2400 BELLEVUE RD, SUITE 21-A, DUBLIN, GA 31021-2885
(478) 275-7202
(478) 274-8418

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002431
GA
363AM0700X
Medical Physician Assistant
002431
GA
363AS0400X
Surgical Physician Assistant
002431
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002523B
GA
01
DC4061
RAILROAD MEDICARE
GA
01
P00168001
RAILROAD MEDICARE
GA
Enumeration date
09/13/2005
Last updated
03/12/2015
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