Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35680 | GA |
NPI | 1366481244 |
---|---|
Provider Name | Wilfreida Lynn Leaphart |
First Address | Savannah, GA 31404-6268 |
Second Address | Savannah, GA 31404-6268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 19/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000750615B | (05) | GA |
000750615C | (05) | GA |
000750615E | (05) | GA |
000750615F | (05) | GA |
000750615G | (05) | GA |
00750615B | (05) | GA |
160051156 | RAILROAD MEDICARE (01) | |
582162071007 | CHAMPUS (01) | |
926702 | BLUE CROSS BLUE SHIELD (01) | GA |
F93646 | (02) | |
G35680 | (05) | SC |