Individual
ROBERT WAYNE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1706 MAGNOLIA WAY, AUGUSTA, GA 30909
(706) 210-7529
(706) 312-7613
Mailing address
226 PINE HOLLOW DR, AIKEN, SC 29803-9691
(803) 643-0131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000556
GA
Other
Enumeration date
07/12/2006
Last updated
04/30/2009
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