Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAMES EDGAR LEAKE, MD
Deactivated Sole ProprietorDR. JAMES EDGAR LEAKE, MD is a Plastic and Reconstructive Surgery healthcare provider located in MARIETTA, Georgia. NPI 1356334825 is deactivated in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · MARIETTA, GA
This NPI has been deactivated.
The record was deactivated on November 16, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1356334825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2005 (13.213698630137 yrs)
- Last Updated
- Jan 2, 2019
- Deactivated
- Nov 16, 2018
- License
-
026144 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
672 BEAUREGARD DR SWMARIETTA, GA, 300645509Browse GA providers · Browse ZIP 30064
- Phone
- 7704223386
- Fax
- 7704223386
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in MARIETTA, GA
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL PETROSKY | MD | 1164416582 |
| SETH A YELLIN | MD | 1619933249 |
| DR. THOMAS BLAISE LINTNER | M.D. | 1376697565 |
| COREY PATRICK HARKINS | MD | 1255591814 |
| DR. AMY L STRONG | MD | 1891220331 |
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.