Individual
DR. TRENT LEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2947 N ASHLEY ST, SUITE A, VALDOSTA, GA 31602-1706
(843) 815-3341
Mailing address
2947 N ASHLEY ST, SUITE A, VALDOSTA, GA 31602-1706
(843) 815-3341
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3998
SC
111N00000X
Chiropractor
Primary
CHIR009581
GA
Other
Enumeration date
04/13/2015
Last updated
05/17/2016
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