Individual
CHRISTEN LEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
(770) 844-3655
Mailing address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5049
WI
363A00000X
Physician Assistant
MA061772
PA
363AS0400X
Surgical Physician Assistant
Primary
007537
GA
363AS0400X
Surgical Physician Assistant
C0003872
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099254
—
WI
Enumeration date
12/23/2008
Last updated
06/03/2022
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