Individual
MR. QUINCY ADAM LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
126 S ANNISTON AVE, SYLACAUGA, AL 35150-2904
(256) 872-7777
(256) 249-0863
Mailing address
126 S ANNISTON AVE, SYLACAUGA, AL 35150-2904
(256) 872-7777
(256) 249-0863
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-076889
AL
Other
Enumeration date
09/25/2018
Last updated
09/26/2019
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