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Individual

DR. JOSEPH B LESESNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 RIVERSTONE VIS STE 102, BLUE RIDGE, GA 30513-6630
(706) 258-4140
(706) 258-4141
Mailing address
188 PEACHTREE WAY NE, ATLANTA, GA 30305-3738
(404) 326-7184
(678) 288-9556

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
029712
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202I832072
MEDICARE PTAN
GA
Enumeration date
01/04/2006
Last updated
08/18/2020
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