Organization
LEDESMA SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST RICHARD LEDESMA JR. PT (PROVIDER/PRESIDENT)
(912) 401-0443
Entity
Organization
Contact information
Practice address
7010 HODGSON MEMORIAL DR, SAVANNAH, GA 31406-2529
(912) 401-0443
(912) 401-0445
Mailing address
340 EISENHOWER DR BLDG 1400, SUITE A, SAVANNAH, GA 31406-1600
(912) 656-2640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003700
GA
Other
Enumeration date
06/29/2010
Last updated
07/21/2022
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