Leatherwood, William Alexander

Leatherwood, William Alexander is an individual health care provider with primary practice located at 777 Hemlock St , Macon GA 31201-2102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Leatherwood, William Alexander can be contacted via phone (478) 633-1000.

Contact Information

Primary practice address
777 Hemlock St Macon GA 31201-2102
Phone: (478) 633-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN106774 Georgia

Profile Details

NPI number 1346215829
LBN Legal business name Leatherwood, William Alexander
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Nov 26th, 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 1346215829 NPPES
Georgia Other 430076991 MCRB RAILROAD
Georgia MEDICAID 000913866A MCRB RAILROAD
Georgia MEDICAID 000913866C MCRB RAILROAD
Georgia MEDICAID 00913866B MCRB RAILROAD

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