Individual
DR. LESLIE ANDREW WILKERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501-7401
(770) 534-3616
(770) 287-3477
Mailing address
2406 LIGHTHOUSE MANOR DR, GAINESVILLE, GA 30501-7401
(770) 534-3616
(770) 287-3477
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
022491
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00217544A
—
GA
01
—
732949
BLUE CROSS/BLUE SHIELD
GA
Enumeration date
09/28/2005
Last updated
07/08/2007
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