Leggett, Derrell Levohn

Leggett, Derrell Levohn is an sole proprietor health care provider with primary practice located at 794 Mcdonough Rd Suite 108, Jackson GA 30233-1572. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Leggett, Derrell Levohn can be contacted via phone (470) 251-5300.

Contact Information

Primary practice address
794 Mcdonough Rd Suite 108 Jackson GA 30233-1572
Phone: (470) 251-5300
Fax: (470) 251-5301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 133964 North Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 66346 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 66346 Georgia

Profile Details

NPI number 1306025630
LBN Legal business name Leggett, Derrell Levohn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2007
Last updated May 24th, 2022 - about 2 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 1306025630 NPPES
Georgia MEDICAID 003118346C

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