Organization
NATHANIEL J LEGGETT OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL JAMES LEGGETT O.D. (PRESIDENT)
(330) 484-2569
Entity
Organization
Contact information
Practice address
3017A CLEVELAND AVE SW, CANTON, OH 44707-3625
(330) 484-2569
(330) 484-2263
Mailing address
3017A CLEVELAND AVE SW, CANTON, OH 44707-3625
(330) 484-2569
(330) 484-2263
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2714414
—
OH
Enumeration date
01/29/2008
Last updated
05/28/2008
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