Keith Edwin Leap II
Emergency Physician Emergency Medical Services
743 Spring St Ne
Gainesville
, Georgia 30501-3715
Keith Edwin Leap II
Emergency Physician Emergency Medical Services
743 Spring St Ne
Gainesville
, Georgia 30501-3715
(828) 526-1285
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Keith Edwin Leap II
- Po Box 602373
- Charlotte, NC
- Zip : 28260-2373
- Fax : (828) 526-1285
- Phone : (828) 526-1280
Second Address
- Keith Edwin Leap II
- 743 Spring St Ne
- Gainesville, GA
- Zip : 30501-3715
- Phone : (786) 357-9327
Reviews
FAQs
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Is Keith Edwin Leap II accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 073593 | GA |
| N | 207P00000X | Emergency Physician | 2015-00392 | NC |
| N | 207PE0004X | Emergency Medical Services | 16953 | SC |
National Provider Identifier
| NPI | 1003884503 |
|---|---|
| Provider Name | Keith Edwin Leap II |
| First Address | Charlotte, NC 28260-2373 |
| Second Address | Gainesville, GA 30501-3715 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 07/01/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F20456 | (02) | SC |
| NCR321A | MEDICARE PTAN (01) | NC |
| NCR321B | MEDICARE PTAN (01) | NC |
| NCR486A194 | MEDICARE PTAN (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.