Individual
LESLIE A WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1120 15TH ST, ROOM BI-2144, AUGUSTA, GA 30912-0004
(706) 721-3871
(706) 721-7753
Mailing address
1120 15TH STREET, BI-2144, AUGUSTA, GA 30912
(706) 721-3871
(706) 721-7753
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
001976
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001975A
—
GA
Enumeration date
05/24/2006
Last updated
03/25/2013
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