Wilkerson, Leslie Andrew
Wilkerson, Leslie Andrew is an individual health care provider with primary practice located at 2406 Lighthouse Manor Dr , Gainesville GA 30501-7401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Wilkerson, Leslie Andrew can be contacted via phone (770) 534-3616.Contact Information
Primary practice address
2406 Lighthouse Manor Dr
Gainesville GA 30501-7401
Phone: (770) 534-3616
Fax: (770) 287-3477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 022491 | Georgia |
Profile Details
| NPI number | 1457348120 |
|---|---|
| LBN Legal business name | Wilkerson, Leslie Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457348120 | NPPES |
| Georgia | MEDICAID | 00217544A | |
| Georgia | Other | 732949 |
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