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Individual

DR. STEVEN BRUCE LEICHTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2425 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4501
(706) 322-1700
(706) 320-0456
Mailing address
2425 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-4501
(706) 322-1700
(706) 320-0456

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
040452
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00665915A
GA
Enumeration date
02/12/2007
Last updated
07/08/2007
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