Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 062084 | GA |
N | 208600000X | Surgeon | 062084 | GA |
Y | 208200000X | Surgeon | 24653 | MS |
Y | 208600000X | Surgeon | 24653 | MS |
N | 2086S0102X | Surgical Critical Care | 062084 | GA |
N | 2086S0102X | Surgical Critical Care | 24653 | MS |
N | 2086S0102X | Surgical Critical Care | 269472 | NY |
N | 2086S0127X | Trauma Surgeon | 062084 | GA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 062084 | GA |
NPI | 1245346709 |
---|---|
Provider Name | Leon N Sykes JR. |
First Address | Jackson, MS 39216-4500 |
Second Address | Jackson, MS 39216-4500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 16/10/2019 |