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Individual

GREGORY LEVERETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 298-7800
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
12/28/2016
Last updated
12/28/2016
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