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Individual

MR. JEFFREY EUGENE LEATHERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1519 13TH AVE, COLUMBUS, GA 31901-1908
(706) 315-8175
(888) 337-2181
Mailing address
203 NARROWS PKWY STE D, BIRMINGHAM, AL 35242-8649
(706) 315-8175
(888) 337-2181

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
8012
NC
225100000X
Physical Therapist
Primary
PT017220
GA
225100000X
Physical Therapist
PTH9151
AL

Other

Enumeration date
08/24/2006
Last updated
08/06/2024
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