Individual
THEODORA MCLESKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C,MSN,RN
Contact information
Practice address
1215 GEORGE C. WILSON DRIVE, AUGUSTA, GA 30909
(706) 736-1284
Mailing address
1215 GEORGE C. WILSON DRIVE, AUGUSTA, GA 30909
(706) 736-1284
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN091604
GA
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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