Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 61379 | GA |
N | 208600000X | Surgeon | 61379 | GA |
N | 2086S0105X | Surgery of the Hand | 61379 | GA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 61379 | GA |
NPI | 1346910569 |
---|---|
Provider Name | Leslie Susan Harper |
First Address | Cumming, GA 30041-2313 |
Second Address | Alpharetta, GA 30005-4509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2021 |
Last Update Date | 18/09/2021 |