Individual
MICHEAL P LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(706) 481-7000
Mailing address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(706) 481-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN153169
GA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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