Individual
MARC LEDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, SUITE BP 4134, AUGUSTA, GA 30912-0004
(706) 721-4400
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65664
GA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/27/2013
Last updated
01/18/2024
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