Gumucio, Leah Marie

Gumucio, Leah Marie is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 290A , Watkinsville GA 30677-7238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gumucio, Leah Marie can be contacted via phone (706) 552-1840.

Contact Information

Primary practice address
1305 Jennings Mill Rd Ste 290A Watkinsville GA 30677-7238
Phone: (706) 552-1840
Fax: (706) 552-1849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 007513 Georgia

Profile Details

NPI number 1992074496
LBN Legal business name Gumucio, Leah Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2011
Last updated Feb 14th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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