Individual
LEAH BRYANT JAMISON
Active
Individual
LEAH BRYANT JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01036948A
IN
207LP3000X
Pediatric Anesthesiology Physician
01036948A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118800
—
IN
01
—
224040194
MEDICARE PTAN
IN
Enumeration date
11/15/2005
Last updated
06/08/2023
Update your record
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