Individual
DR. GEORGE H LEGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
215 MAGNOLIA ST, MAGNOLIA, MS 39652-2827
(601) 783-2361
Mailing address
215 MAGNOLIA ST, MAGNOLIA, MS 39652-2827
(601) 783-2361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1606-74
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064455
—
MS
Enumeration date
10/10/2006
Last updated
07/09/2007
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