James Leake
Surgery, Plastic and Reconstructive Surgery in Marietta, GA. Organization (NPI-2).
Details
- NPI
- 1831578699
- Entity type
- Organization (NPI-2)
- Legal business name
- James Leake
- Organization subpart
- No
- Enumeration date
- May 27, 2015
- Last updated
- May 27, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 026144 | GA | Yes |
Practice location
120 Vann St NeSuite 150
Marietta, GA 30060-7357
Phone 770-421-1242 · Fax 770-424-6652
Mailing address
120 Vann St NeSuite 150
Marietta, GA 30060-7357
Phone 770-421-1242 · Fax 770-424-6652
Authorized official
James E Leake
M.D.
7704211242
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All 12 Plastic and Reconstructive Surgery Physician providers in Marietta · All 9,180 providers in Marietta
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