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Individual

LEYLAND MAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2620 MALL OF GEORGIA BLVD APT 1338, BUFORD, GA 30519-5539
(678) 926-9902
Mailing address
2620 MALL OF GEORGIA BLVD APT 1338, BUFORD, GA 30519-5539

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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