Individual
LEO ENRIQUE LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MAGNOLIA CT, MOULTRIE, GA 31768-6764
(229) 502-9769
Mailing address
1 MAGNOLIA CT, MOULTRIE, GA 31768-6764
(229) 502-9753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99713
GA
Other
Enumeration date
03/24/2021
Last updated
12/17/2025
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