Leatherwood, Stephen Hunt
Leatherwood, Stephen Hunt is an individual health care provider with primary practice located at 550 Redmond Rd Nw , Rome GA 30165-1416. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Leatherwood, Stephen Hunt can be contacted via phone (706) 233-8512.Contact Information
Primary practice address
550 Redmond Rd Nw
Rome GA 30165-1416
Phone: (706) 233-8512
Fax: (706) 233-8513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005118 | Georgia |
Profile Details
| NPI number | 1750331476 |
|---|---|
| LBN Legal business name | Leatherwood, Stephen Hunt |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Aug 24th, 2011 - about 14 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 | 1750331476 | NPPES |
| Georgia | MEDICAID | 261031502F | |
| Georgia | MEDICAID | 261031502J | |
| Georgia | MEDICAID | 261031502G | |
| Georgia | MEDICAID | 261031502E |
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