Individual
DR. JORGE PEDRO LEGUIZAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
698 DULUTH HWY, SUITE 201, LAWRENCEVILLE, GA 30045-7695
(770) 822-0788
(770) 822-0326
Mailing address
1835 SAVOY DR STE 203, ATLANTA, GA 30341-1073
(770) 822-0788
(770) 822-0326
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
061479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624397991D
—
GA
05
—
624397991E
—
GA
Enumeration date
01/03/2006
Last updated
08/14/2024
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