Wood, Leanne
Wood, Leanne is an sole proprietor health care provider with primary practice located at 3641 Centerville Hwy , Snellville GA 30039-6593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wood, Leanne can be contacted via phone (770) 752-4141.Contact Information
Primary practice address
3641 Centerville Hwy
Snellville GA 30039-6593
Phone: (770) 752-4141
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN113945 | Georgia |
Profile Details
NPI number | 1407152838 |
---|---|
LBN Legal business name | Wood, Leanne |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 2nd, 2011 |
Last updated | Sep 9th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407152838 | NPPES |
Georgia | MEDICAID | 003109967B |
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