Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DERRELL LEVOHN LEGGETT, M.D.
Active Sole ProprietorDR. DERRELL LEVOHN LEGGETT, M.D. is a Interventional Vascular Surgery healthcare provider located in JACKSON, Georgia. NPI 1306025630 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · JACKSON, GA
Registration Details
- NPI Number
- 1306025630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2007 (18.818446399234 yrs)
- Last Updated
- May 24, 2022
- Licenses
-
133964 (NC)66346 (GA)66346 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
794 MCDONOUGH RDSUITE 108JACKSON, GA, 302331572Browse GA providers · Browse ZIP 30233
- Phone
- 4702515300
- Fax
- 4702515301
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (Anesthesiology)
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.