Individual
MISS BARBARA MILLER LEVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 868-0389
(706) 651-0729
Mailing address
1245 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 868-0389
(706) 651-0729
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
068930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068930
GA LICENSE
GA
01
—
LL29801
SC MEDICAL LISENCE NUMBER
SC
Enumeration date
06/14/2007
Last updated
01/04/2013
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