JAMES LEAKE NPI 1831578699

NPI Information

JAMES LEAKE is a plastic and reconstructive surgery surgery in Marietta, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. JAMES LEAKE NPI is 1831578699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 VANN ST NE
SUITE 150
MARIETTA, GA
ZIP 30060-357
Phone: (770) 421-1242
Fax: (770) 424-6652

The provider's authorized official is James E Leake .
The authorized official title is M.d. and has the following contact phone number (770) 421-1242.

The enumeration date for this NPI number is 5/27/2015 and was last updated on 5/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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