Individual
MAKAYLA LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1223 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1807
(706) 309-0800
Mailing address
246 ROBERT C DANIEL JR PKWY # 1641, AUGUSTA, GA 30909-0803
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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