Individual
LEIGHTON ROLSTON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-6511
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 446-5941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
049906
GA
207RN0300X
Nephrology Physician
40469
TX
207RN0300X
Nephrology Physician
MFC1660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165654801
—
TX
01
—
P00867786
RAILROAD MEDICARE
—
Enumeration date
04/05/2006
Last updated
07/10/2018
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