Ledoux, Denise M
Ledoux, Denise M is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 350, Marietta GA 30060-1155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ledoux, Denise M can be contacted via phone (770) 424-6893.Contact Information
Primary practice address
55 Whitcher St Ne Suite 350
Marietta GA 30060-1155
Phone: (770) 424-6893
Fax: (678) 819-0357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 001927 | Georgia |
Profile Details
| NPI number | 1245385442 |
|---|---|
| LBN Legal business name | Ledoux, Denise M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jun 27th, 2012 - about 12 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 | 1245385442 | NPPES |
| Georgia | MEDICAID | 003109728C | |
| Georgia | MEDICAID | 003109728A | |
| Georgia | MEDICAID | 003109728B |
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