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SERVIO LECONTE JEAN BAPTISTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8064 LOUIS DR, LOCUST GROVE, GA 30248-7111
(904) 480-5110
Mailing address
8064 LOUIS DR, LOCUST GROVE, GA 30248-7111
(904) 480-5110

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
GAA-NP004170
GA

Other

Enumeration date
10/30/2025
Last updated
10/30/2025
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