Organization · NPI-2

Leech Laboratories LLC

Clinic/Center · Newnan, GA

NPI number1306689070
StatusActive
Last updated in NPPESJun 18, 2024

Details

NPI
1306689070
Entity type
Organization (NPI-2)
Legal business name
Leech Laboratories LLC
Organization subpart
No
Enumeration date
Jun 18, 2024
Certification date
Jun 18, 2024
Last updated
Jun 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Lee-King Wellness (Doing Business As)

Practice location

18 Cavender St
Newnan, GA 30263-1932

Phone 404-254-6889 · Fax 770-253-3571

Mailing address

18 Cavender St
Newnan, GA 30263-1932

Authorized official

Margaret Leech
Owner
4042546889

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