Individual
MR. LELAND H WINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 823-1786
(706) 823-1754
Mailing address
120 REED CREEK RD, MARTINEZ, GA 30907-1646
(706) 860-2409
(706) 823-1754
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN042872
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21852
CRNA
WV
01
—
RN042872
CRNA
GA
01
—
RN189644L
CRNA
PA
Enumeration date
07/31/2006
Last updated
07/08/2007
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