Individual
DR. LESLIE A DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3822
(770) 219-9445
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60363
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
060363
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
574554373A
—
GA
Enumeration date
03/31/2006
Last updated
10/06/2020
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