Individual
DR. JAMES EDGAR LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
672 BEAUREGARD DR SW, MARIETTA, GA 30064-5509
(770) 422-3386
(770) 422-3386
Mailing address
672 BEAUREGARD DR SW, MARIETTA, GA 30064-5509
(770) 422-3386
(770) 422-3386
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
026144
GA
Other
Enumeration date
08/30/2005
Last updated
01/02/2019
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