Individual
MRS. DUNCAN LESLIE MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
300 MEDICAL DRIVE, SUITE 701, LAGRANGE, GA 30240
(706) 882-8971
(706) 882-8991
Mailing address
300 MEDICAL DRIVE, SUITE 701, LAGRANGE, GA 30240
(706) 882-8971
(706) 882-8991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007416
GA
363AM0700X
Medical Physician Assistant
007416
GA
Other
Enumeration date
10/27/2014
Last updated
07/16/2015
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