Organization
SOUTHLAND SPORTS MEDICINE AND WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LESKI MD (OWNER/ PHYSICIAN)
(706) 632-2200
Entity
Organization
Contact information
Practice address
809 E MAIN ST, BLUE RIDGE, GA 30513-4575
(706) 632-2200
Mailing address
809 E MAIN ST, BLUE RIDGE, GA 30513-4575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33624
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
09/11/2025
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