Individual
LELAND SETH FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3440 HIGHWAY 81, LOGANVILLE, GA 30052-9112
(706) 549-1663
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST, BLDG 2 STE 200, ATHENS, GA 30606-2853
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
PENDING
GA
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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