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DR. LESLIE WAYNE GARRETT M.D.

Nuclear Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1912054222

Individual Registrant:
DR. LESLIE WAYNE GARRETT M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
101 RIVERSIDE BLVD  EAST PALATKA, FL 32131-4353 US
Tel: 386-325-3815  Fax: --

Contact information for business:
PO BOX 752  EAST PALATKA, FL 32131-0752 US
Tel: 386-325-3815  Fax: --

Registration Information:
NPI: 1912054222
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X2085N0904XAllopathic & Osteopathic Physicians
Radiology
Nuclear Radiology
WAMD00042982
X2085N0904XAllopathic & Osteopathic Physicians
Radiology
FLME30625
X2085N0904XAllopathic & Osteopathic Physicians
Radiology
ND9935
X2085R0202XAllopathic & Osteopathic Physicians
Radiology
WAMD00042982
X2085R0202XAllopathic & Osteopathic Physicians
Radiology
FLME30625
X2085R0202XAllopathic & Osteopathic Physicians
Radiology
ND9935
X207U00000XAllopathic & Osteopathic Physicians
Nuclear Medicine
FLME30625
X207U00000XAllopathic & Osteopathic Physicians
Nuclear Medicine
ND9935
X207U00000XAllopathic & Osteopathic Physicians
Nuclear Medicine
WAMD00042982
X2085U0001XAllopathic & Osteopathic Physicians
Radiology
FLME30625
X2085U0001XAllopathic & Osteopathic Physicians
Radiology
WAMD00042982
X2085U0001XAllopathic & Osteopathic Physicians
Radiology
ND9935

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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