Leggette, Lester Darrell

Leggette, Lester Darrell is an individual health care provider with primary practice located at 380 Hospital Dr Suite 410, Macon GA 31217. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Leggette, Lester Darrell can be contacted via phone (478) 746-5644.

Contact Information

Primary practice address
380 Hospital Dr Suite 410 Macon GA 31217
Phone: (478) 746-5644
Fax: (229) 434-2502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 001796 Georgia

Profile Details

NPI number 1871584417
LBN Legal business name Leggette, Lester Darrell
Credentials PA-AA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jun 4th, 2013 - about 11 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 1871584417 NPPES
Georgia Other 580628385 TRICARE
Georgia Other 01780683 TRICARE
Georgia Other 362514 TRICARE
Georgia MEDICAID 100001416C TRICARE
Georgia MEDICAID 100001416E TRICARE
Georgia MEDICAID 100001416B TRICARE
Georgia MEDICAID 100001416F TRICARE
Georgia MEDICAID 100001416D TRICARE

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