David, Leslie A

David, Leslie A is an individual health care provider with primary practice located at 1315 Jesse Jewell Pkwy Ne Ste 300 , Gainesville GA 30501-3822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. David, Leslie A can be contacted via phone (770) 219-9445.

Contact Information

Primary practice address
1315 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501-3822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 060363 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 60363 Georgia

Profile Details

NPI number 1447211297
LBN Legal business name David, Leslie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 6th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447211297 NPPES
Georgia MEDICAID 574554373A

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