Individual
DR. LELAND CHESTER MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 MANCHESTER EXPY, SUITE 101A, COLUMBUS, GA 31904-6802
(706) 322-6646
(706) 322-2891
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
032608
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
032608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000506448
—
GA
05
—
009939872
—
AL
01
—
20NCCRC
MEDICARE PTAN
GA
Enumeration date
11/08/2005
Last updated
08/07/2024
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