Individual
MR. LEO G FRANGIPANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 MADDOX DR, SUITE 2, EAST ELLIJAY, GA 30540-8189
(706) 515-1090
(706) 515-1093
Mailing address
PO BOX 488, EAST ELLIJAY, GA 30539-0009
(706) 515-1090
(706) 515-1093
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
053812
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196171338A
—
GA
Enumeration date
08/31/2006
Last updated
03/31/2009
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