Individual
GEORGINA LEAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1949 12 MILE RD STE 100, BERKLEY, MI 48072-1868
(248) 551-0615
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351042777
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4351042777
MI
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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