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Individual

JULIA CARMEN LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
462 ELMA G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9400
Mailing address
2161 VININGS NORTH LN SE, SMYRNA, GA 30080-5978

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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