Jeter, Leslie A.

Jeter, Leslie A. is an individual health care provider with primary practice located at 2550 Windy Hill Rd Se Suite 302, Marietta GA 30067-8665. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jeter, Leslie A. can be contacted via phone (678) 574-0943.

Contact Information

Primary practice address
2550 Windy Hill Rd Se Suite 302 Marietta GA 30067-8665
Phone: (678) 574-0943
Fax: (678) 574-0943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN081312 Georgia

Profile Details

NPI number 1780671628
LBN Legal business name Jeter, Leslie A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 23rd, 2008 - about 16 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 1780671628 NPPES
Georgia MEDICAID 000558346O
Georgia MEDICAID 000558346J
Georgia MEDICAID 000558346L
Georgia MEDICAID 000558346H
Georgia MEDICAID 000558346K
Georgia MEDICAID 000558346N
Georgia MEDICAID 000558346I
Georgia MEDICAID 000558346M

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