Individual
LESLIE R NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 457-2036
(478) 457-2042
Mailing address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 457-2036
(478) 457-2042
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
91778
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133282A
—
GA
Enumeration date
02/08/2013
Last updated
06/05/2013
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