Leguizamo, Jorge Pedro

Leguizamo, Jorge Pedro is an individual health care provider with primary practice located at 698 Duluth Hwy Suite 201, Lawrenceville GA 30045-7695. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Leguizamo, Jorge Pedro can be contacted via phone (770) 822-0788.

Contact Information

Primary practice address
698 Duluth Hwy Suite 201 Lawrenceville GA 30045-7695
Phone: (770) 822-0788
Fax: (770) 822-0326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 061479 Georgia

Profile Details

NPI number 1285612168
LBN Legal business name Leguizamo, Jorge Pedro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Dec 1st, 2020 - about 4 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 1285612168 NPPES
Georgia MEDICAID 624397991D
Georgia MEDICAID 624397991E

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