Individual
MR. LESLIE JAMES RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3743
Mailing address
445 WINN WAY, PO BOX 987, DECATUR, GA 30030-1707
(404) 294-3743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000412805I
—
GA
Enumeration date
06/13/2006
Last updated
08/15/2016
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