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DR. LESLIE WAYNE GARRETT M.D.
Nuclear Radiology >> Radiology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1912054222
Individual Registrant:DR. LESLIE WAYNE GARRETT M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
101 RIVERSIDE BLVD EAST PALATKA, FL 32131-4353 US
Tel: 386-325-3815 Fax: --
Tel: 386-325-3815 Fax: --
Contact information for business:
PO BOX 752 EAST PALATKA, FL 32131-0752 US
Tel: 386-325-3815 Fax: --
Tel: 386-325-3815 Fax: --
Registration Information:
NPI: 1912054222
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 2085N0904X | Allopathic & Osteopathic Physicians Radiology Nuclear Radiology | WA | MD00042982 |
| X | 2085N0904X | Allopathic & Osteopathic Physicians Radiology | FL | ME30625 |
| X | 2085N0904X | Allopathic & Osteopathic Physicians Radiology | ND | 9935 |
| X | 2085R0202X | Allopathic & Osteopathic Physicians Radiology | WA | MD00042982 |
| X | 2085R0202X | Allopathic & Osteopathic Physicians Radiology | FL | ME30625 |
| X | 2085R0202X | Allopathic & Osteopathic Physicians Radiology | ND | 9935 |
| X | 207U00000X | Allopathic & Osteopathic Physicians Nuclear Medicine | FL | ME30625 |
| X | 207U00000X | Allopathic & Osteopathic Physicians Nuclear Medicine | ND | 9935 |
| X | 207U00000X | Allopathic & Osteopathic Physicians Nuclear Medicine | WA | MD00042982 |
| X | 2085U0001X | Allopathic & Osteopathic Physicians Radiology | FL | ME30625 |
| X | 2085U0001X | Allopathic & Osteopathic Physicians Radiology | WA | MD00042982 |
| X | 2085U0001X | Allopathic & Osteopathic Physicians Radiology | ND | 9935 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
