Individual
WILFREIDA LYNN LEAPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4750 WATERS AVE STE 302, SAVANNAH, GA 31404-6268
(912) 350-5970
(912) 350-3374
Mailing address
4750 WATERS AVE STE 302, SAVANNAH, GA 31404-6268
(912) 350-5970
(912) 350-3374
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35680
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000750615B
—
GA
05
—
000750615C
—
GA
05
—
000750615E
—
GA
05
—
000750615F
—
GA
05
—
000750615G
—
GA
05
—
00750615B
—
GA
01
—
160051156
RAILROAD MEDICARE
—
01
—
582162071007
CHAMPUS
—
01
—
926702
BLUE CROSS BLUE SHIELD
GA
05
—
G35680
—
SC
Enumeration date
06/06/2006
Last updated
02/19/2020
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