Organization
LEAP MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW D. HANSERD MD (OWNER)
(337) 408-0797
Entity
Organization
Contact information
Practice address
22375 TROON DR, ATHENS, AL 35613-8138
(337) 408-0797
(337) 943-0846
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 408-0797
(337) 943-0846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
03/11/2020
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