Individual
DR. LEONARD LITTLE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 SAINT SEBASTIAN WAY, SUITE 2D, AUGUSTA, GA 30901-2643
(706) 722-1461
(706) 722-2767
Mailing address
820 SAINT SEBASTIAN WAY, SUITE 2D, AUGUSTA, GA 30901-2643
(706) 722-1461
(706) 722-2767
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
48164
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00091813A
—
GA
01
—
207RG0100X
TAXONOMY
GA
05
—
G48164
—
SC
Enumeration date
05/31/2006
Last updated
07/08/2007
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