Individual
LEYLA EL-CHOUFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1303 DANTIGNAC ST, SUITE 1200, AUGUSTA, GA 30901-2775
(706) 774-7760
(706) 774-7766
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7760
(706) 774-7766
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
46594
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD16530
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00855181A
—
GA
01
—
110201975
RAILROAD MEDICARE
—
01
—
11D0687551
GROUP CLIA NUMBER
—
05
—
TL5840
—
SC
Enumeration date
01/24/2007
Last updated
10/17/2018
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