Individual
MR. LESTER DARRELL LEGGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-AA
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217
(478) 746-5644
(229) 434-2502
Mailing address
PO BOX 2564, MACON, GA 31203-2565
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
001796
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01780683
AMERIGROUP
GA
05
—
100001416B
—
GA
05
—
100001416C
—
GA
05
—
100001416D
—
GA
05
—
100001416E
—
GA
05
—
100001416F
—
GA
01
—
362514
WELLCARE
GA
01
—
580628385
TRICARE
GA
Enumeration date
11/02/2005
Last updated
06/04/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us